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Prospective Student Information Request

About You

Name
First* MI Last*

Birth Date

Calendar

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Mail Address
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City* State* Please select Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington, DC West Virginia Wisconsin Wyoming Zip*

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Contact Information

Phone

Email*
Confirm Email*

Desired entry term at Oregon Tech: --Term-- Fall Winter Spring Summer --Year-- 2013 2014 2015 2016 2017
Year of High School Graduation: --Year-- 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
Current Status: Current High School Student Transfer Student GED Recipient
How did you hear about Oregon Tech?: --Select-- Oregon Tech visited my school At a college fair Received mail from Oregon Tech From a friend From a teacher or counselor An advertisement Did a web search Other

Majors of Interest

Please select up to three majors you are interested in:
Biology
Biology - Health Sciences
Civil Engineering
Clinical Laboratory Science
Communication Studies
Computer Engineering Technology
Dental Hygiene
Diagnostic Medical Sonography
Echocardiography
Electrical Engineering
Embedded Systems Engineering Technology
Environmental Sciences
General Studies
Geomatics
Information Technology
Management/Accounting
Management/Entrepreneurship and Small Business
Management/Marketing
Manufacturing Engineering Technology
Math (Applied Math)
Mechanical Engineering
Mechanical Engineering Technology
Nuclear Medicine Technology
Nursing
Operations Management
Paramedic Education
Polysomnographic Technology
Psychology (Applied Psychology)
Radiologic Science
Renewable Energy Engineering
Respiratory Care
Software Engineering Technology
Vascular Technology

Specific Interests

Housing
Scholarships\Financial Aid
Information For Transfer Students
Admissions Application
International Admissions Application
Other

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