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Application for Admission

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Student Status*
International Students: Please see the International Students page for the international student packet and also send an email to Ben Fries via his Contact Form.

Students interested in taking classes prior to high school graduation: please see our Dual Enrollment, CTE and Early/Middle College page for more information.
Current Name*
First Middle Last Suffix
Former Last Name
Birth Last Name
Preferred Name
(Include first and last name)
Date of Birth*
Address*
Line 1 Line 2 / PO Box City State / Province / Region ZIP / Postal Code Country
Email*

*Non-high school email address is preferred
Social Security Number*
*Note: If you attempt to use a fraudulent Social Security Number in this field, you will be unable to continue with the application.
Note:

If you do not want to provide a SSN please submit a Printable Application in person, via fax, or by email.
Phone Number
(Primary)
Type
May we text this number?*
- Yes
- No
Phone Number
(Secondary)
Type
May we text this number?*
- Yes
- No
Phone Number
(Alternate)
Type
May we text this number?*
- Yes
- No

This section is voluntary

Demographic information is reported to the U.S. Office for Civil Rights under Title VI of the Civil Rights Act of 1964 and Title IX of the Education Amendments of 1972. It is not used in admissions decisions, and will not be used in a discriminatory way for participation in, access to, or benefits of programs or services of the college.
Gender
- Male
- Female
- Other
Personal Pronoun
- She/Her/Hers
- He/Him/His
- Ze/Hir/Hirs
- They/Them/Their
- Use my name as pronoun
Gender Identity
- Transgender Female
- Transgender Male
- Non-Binary
Gender Identity Definitions

Transgender Female

A woman assigned male at birth.

Transgender Male

A man assigned female at birth.

Non-Binary

An umbrella term covering any gender identities that are not exclusively male or female.
Race
- White
- Asian
- Other/Unknown
- Black or African American
- American Indian or Alaska Native
- Native Hawaiian or other Pacific Islander
- Non-Resident Alien
- Two or more races
Please indicate your two or more races
- White
- Asian
- Other/Unknown
- Black or African American
- American Indian or Alaska Native
- Native Hawaiian or other Pacific Islander
- Non-Resident Alien
Ethnicity
- Non-Hispanic/Latino
- Hispanic/Latino
Citizenship Status
- U.S. Citizen
- Non-U.S. Citizen
- Permanent Resident
Country of Citizenship
Alien Registration
Military Status
- Active Military
- Active Reserve Military
- Previously Served in Military
- No Military Service
Branch*
Start Date*
End Date
Parents' Highest Level of Education
Parent 1
Guardian 1
Parent 2
Guardian 2
Have you ever been in foster care?

Educational Background
Where will you or where did you receive your high school diploma?*
City
State
Graduation Year
College Attended (First)
College Attended (Second)
College Attended (Third)
College Attended (Fourth)
College Attended (Fifth)
College Attended (Sixth)

Starting Semester*
- Fall (Aug./Sep.)
- Winter (Jan.)
- Summer (May./June.)
Are you interested in on-campus Student Housing?
- Yes
- No
Online Courses
- I am planning to take courses online only
Starting Year*
Degree Programs Plans*
Certificate Plans*
Technology Certificate Plans*
Technology Certificate Plans*
Business Certificate Plans*
Students seeking this status will not be financial aid eligible. This includes grants, scholarships, and student loans.
You MUST also apply to MSU for this program. Please find the application on the MSU Ag page.
*Must also choose a certificate
** must apply to Director of Nursing for selective Admission
** must apply to Director of Nursing for selective Admission
*** Program has selective admission
*** Program has selective admission
If your program of interest is not listed, please enter name here:
Glen Oaks Community College is committed to a policy of providing equal access to education for all persons regardless of race, color, sex, age, religion, national origin, sexual orientation, disability, veteran status, or other status as protected by law. The College's nondiscrimination policy applies to admissions, employment, and access to college programs and activities. This policy applies to all persons employed at GOCC, enrolled as a student, seeking admission to the college, requesting employment at, or having contracts with the college. The College values diversity and seeks talented students, faculty and staff from diverse backgrounds. The College does not discriminate in the administration of educational policies, programs or activities: admission policies: scholarship and loan awards: or other college administered programs or employment. The College's Civil Rights Coordinator has copies of all Acts and regulations and can provide information on grievance procedure and will investigate all complaints. Inquiries concerning the non-discriminatory policy may be directed to Director, Office of Civil Rights, U.S. Dept. of Education, 400 Maryland Ave. S.W., Washington, D.C. 20202 Phone (216) 522-4970. Submission of this form electronically shall constitute my signature on the form. By submitting this form, I certify that the information given on this application is correct and complete to the best of my knowledge, and I agree to observe all the rules and regulations of Glen Oaks Community College. I understand that false information on this application may result in my dismissal from Glen Oaks Community College. By signing this application, I am also granting permission for the institution to use my image for marketing, communication, and advertising/promotional purposes. If I do not want my image used in these materials, I must state my objection to the photographer/videographer during the shoot and/or in writing, or submit my request to the Director of Communications and Marketing.

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