Dual Credit Application

This is the Dual Credit application designed only for high school students who wish to do the Early Owl Program or Dual Credit Program.

To be eligible you must:

Currently be enrolled in high school
At least 14 years of age
Pass placement tests for Math courses and Writing courses
Meet course prerequisites

If you wish to attend Oregon Tech as a first-year or transfer student for a later term, you must submit a new application at oit.edu/apply.

About You

Legal First Name

Legal Middle Name (optional)

Legal Last Name

Do you have a preferred FIRST Name that is different than your legal FIRST name that you would like to use?

Yes

Preferred First Name (If different from Legal First Name)

Birthdate

Gender & Sexual Identity

Legal Sex
This field is required for federal reporting purposes (oit.edu/title-ix).

The following identity related questions are optional and the information you provide will NOT be used in a discriminatory manner. The State of Oregon requires us to ask the following questions, but you are not required to answer them. More information related to the state law can be found here.

Although the categories listed below may not represent your full identity or use the language you prefer, for the purpose of this application, please select your sexual and gender identity.

Sexual Identity (optional)

Gender Identity (optional)

Racial/Ethnic Background (optional)

Are you Hispanic or Latino?

Yes

Check all that apply

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or Other Pacific Islander

White

Contact Information

Email Address

We recommend using a standard email provider for your preferred email address such as gmail or yahoo. Email addresses assigned by your high school may filter or block messages sent from Oregon Tech.

Home Phone Number

Cell Phone Number

By providing your cell phone number you are consenting to Oregon Tech contacting you via text message. Text message rates may apply.

Mailing Address

Country

Street

City

Region

Postal Code

Permanent Address

Country

Street

City

Region

Postal Code

Parent / Guardian Information

Parent/Legal Guardian First Name

Parent/Legal Guardian Last Name

Parent/Legal Guardian Phone

Parent/Legal Guardian Email

Relationship of Parent/Legal Guardian

Parent/Legal Guardian Mailing Address

Country

Street

City

Region

Postal Code

High School Information

Statewide Student IDentifier (SSID) -
Mandatory for Willamette Promise Students - Optional for all other students.

An SSID is a unique, non-personally identifiable 10 digit number that all K-12 public school students are required to have.

You may need to add a zero or two in front of the number you have in order to make the number 10 digits.
Your teacher can give you this number. The number is not your high school ID number.

High School you are currently attending.

When will you graduate high school?

Current Cumulative GPA
GPA Cannot be Greater than 4.0

Where are you taking Oregon Tech classes?

Oregon Tech provides a tuition waiver to students whose families receive Supplemental Nutritional Assistance Program (SNAP), meet expanded income guidelines, or are foster child or a ward of the state of Oregon.

Are you eligible for a tuition waiver?

Yes

By typing my name below, I certify, that the above student is participating in one or more approved programs and is eligible for a tuition waiver from Oregon Tech based on that participation. If participation status changes at any time, I will notify Oregon Tech in writing that this student is no longer eligible.

Please rate your likeliness to attend Oregon Tech after graduating from high school.

1 - I plan to attend elsewhere, definitely not Oregon Tech

2 - Probably will not attend

3 - Unsure, but I can be persuaded

4 - Might attend

5 - Definitely will attend

Please select a major that interests you.
If nothing specific interests you, please choose General Studies

Please select an option

Citizenship

Primary Country of Citizenship

Are you a United States Permanent Resident?

Yes

Permanent Resident Card Number

Social Security Number

Are you a Deferred Action/DACA student?

Yes

Residency

Do you consider yourself a resident of Oregon?

Yes

Application Certifications

Under the Family Educational Rights and Privacy Act (FERPA), I understand that my educational records cannot be released without my written permission.

I, therefore, authorize the release of academic records and personally identifiable information between the high school district I attend and their post-secondary partners for purposes of determining eligibility to enroll in dual credit courses, to create an enrollment record with the post- secondary partner, and support my success in college level coursework. This may include, but is not limited to, application details, academic prerequisite information required to participate in specific courses, attendance records, test scores, progress reports from College instructors, course grades, tuition, and final exam grades.

When applicable, Oregon Tech will release tuition balance & payment information to payers. Oregon Tech will not release academic information to parents or guardians without a FERPA authorization form on file with the institution.

I authorize the release of any information submitted by me in connection with this application to any person, corporation, association or government agency by Oregon Tech only to verify or explain this information.

I represent that the information provided in this application is correct and complete. I understand that this application is only for the Early Owl Program or Dual Credit Program. I acknowledge that if I wish to attend Oregon Tech as a full time student, I must submit a degree seeking application as a first-year student for a future term. I understand if I am found to have made false or misleading statements on this application, or have omitted any required information, I may be subject to discipline, including cancellation of my application or dismissal from the university.

Non-Discrimination and Equity Statement

Oregon Tech is an Affirmative Action/Equal Opportunity Educator and Employer. The university does not discriminate in access to its educational programs and activities, or with respect to hiring, or the terms and conditions of employment, on the basis of age, color, disability, marital status, national origin, race, religion or creed, sex or gender, gender identity or gender expression, sexual orientation, veteran status, or any other basis in law. Oregon Tech is committed to providing access and reasonable accommodation in its services, programs, activities, education and employment for individuals with disabilities. To request disability accommodation in the application process, contact the Office of Human Resource at 541-885-1028 or oithr@oit.edu.

In place of your signature, please type your full legal name.