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University of Central Oklahoma

 

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Information Please enter your information in the following forms.

Required - indicates a required field.
Name
Prefix:
First Name: Required
Middle Name:
Last Name: Required
Suffix:
Nickname:

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Date of Birth:Required Month Day Year (YYYY)

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Valid From: Month Day Year (YYYY)
Until: Month Day Year (YYYY)
Address Line 1:Required
Address Line 2:
Address Line 3:
City:Required
State or Province:
ZIP or Postal Code:
County:
Nation:
Phone Number: - (xxxxxx)-(xxxxxxxxxxxx) (xxxxxxxxxx extension)
International Access Code:

.
E-mail Address:Required
Verify E-mail Address:Required

Prior College
College Code:Required
Prior College Name:Required
Address Line 1:
Address Line 2:
Address Line 3:
City:Required
State or Province:
ZIP or Postal Code:
Nation:
Attended From:
Attended To:
Graduation Date: Month Day Year (YYYY)
GPA: (example: 9.99)
Degree:

What semester will you come?
Term of Entry:Required

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Major:Required

Ethnicity/Race
Ethnicity:

Note What is your ethnicity?

Hispanic or Latino
Not Hispanic or Latino

Note Select one or more races to indicate what you consider yourself to be.

American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander White
American Indian or Alaskan Native
Asian
Black or African American
Pacific Islander/Native Hawaiian
White

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Gender: Male Female Not Specified

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Release: 8.7.2.12