OTC Application for Admissions

417-447-7500 | e-mail

Application for Admissions
red asterickindicates required
Applicant Information
Social Security Number (must be your valid social)
Confirm Social Security Number
Date of Birth
Gender Male     Female
Last Name
First Name
Middle
Previous Last Name
Previous First Name
Previous Middle Name
Address:
Street Address  
Apt. #
City, State, Zip
School district in which you reside:
Primary Phone Number
(May be used to leave private messages regarding your status at OTC)
( )   (xxx) xxx-xxxx
Have you lived at your current residence for at least one year? Yes   No
How many months have you lived at your current residence? Months
Previous Address:
Apt. #
City, State, Zip
Personal E-mail Address
(May be used to notify you of admissions information)
Have you ever been convicted of a felony? Yes   No
If you answered yes, explain including offense(s) and date(s) convicted:
Have you ever been dismissed/suspended from another college or university for disciplinary (non-academic) reasons? Yes   No
If you answered yes, explain including violation(s) and date(s) dismissed:
Emergency Contact Information:
Last Name
First Name
Relation
Phone Number ( )   (xxx) xxx-xxxx
Is your parent or guardian a legal resident? Yes     No
Is English your first language? Yes     No
Are you a U.S. Citizen? Yes     No
If no, are you a legal resident? Yes     No

Only applicants who are citizens or resident aliens are considered for admission to the College.

Enrollment Information
Year and term you intend to enroll
Fall (August)
Spring (January)
Summer (June)
What type of student are you? (Please select the type the Admission Process Helper identified as the admissions process you should follow.) Traditional College Programs

First-Time Freshman
Re-Admit (previously attended OTC)
Transfer Student (previously attended another college)
Visiting Student (enrolled at another college or taking classes for personal enrichment, non-degree seeking, not eligible for financial aid)

Programs for Current High School Students
These programs are not eligible for financial aid
Career Center (half-day technical education program for current high school students)
Dual Credit (taking OTC classes at my high school or online through my high school)
Early Start (current high school, home school, or GED student enrolling in OTC credit classes, not eligible for financial aid)
FAST-Track (high school students from Hollister, Ozark or Laquey who are taking college classes while still in high school)
Middle College (selective full day high school/college program. Must be a student of SPS, Logan-Rogersville, Republic or Everton)
Campus Location (planned primary attendence) Springfield
Richwood Valley
Table Rock
Lebanon
Waynesville
Online
High School Dual Credit
Enrollment Plan Full-time    Part-time
Academic Information
Please list high school education or GED completed. Include colleges (if any) through which you received credit while attending high school. List all colleges where you have been enrolled, including OTC, even if you did not complete a full term.
High School / Home School / GED Information:  
Did you or will you complete a GED? Yes      No
Please provide the GED graduation year (ex., 1999)
In what state did you complete your GED?
Did you or will you graduate from high school or home school? Yes     No
School Name or Home School
If you selected Other, please select your high school
If you select Other Missouri High School, please provide the high school
Years Attended Start Year  Graduation Year
Have you submitted a financial aid form? (FAFSA) Yes     No
Are you participating in or have you completed the A+ Program at your high school within the last 48 months? Yes     No
If yes, have you used A+ eligibility at another college? Yes     No
Have you ever served in the United States Armed Forces? Yes     No
Are you a dependent/spouse of someone who has served or is serving in the United States Armed Forces? Yes     No
Do you plan to use GI Bill/VA benefits at OTC? Yes     No
College or University Information:  
College/University Name
If you selected Other, please select your college or university
State
Years Attended From to
Degree/Hours Earned
College/University Name
If you selected Other, please select your college or university
State
Years Attended From to
Degree/Hours Earned
College/University Name
If you selected Other, please select your college or university
State
Years Attended From to
Degree/Hours Earned
Program of Study
Check the box next to your intended program of study: (Please select one)
General Education Programs: Associate of Arts (A.A. - transfer degree)
Associate of Arts in Business (A.A.B.)
Associate of Arts in Teaching (A.A.T.)
Associate of Science (A.S.)
Are you interested in an area of emphasis? Yes     No
If yes, please select only one:
Please select only one:
or  
Allied Health Programs:
Admission to the college does not guarantee acceptance into Allied Health selective admission programs. Students who select an Allied Health program denoted with an * will be considered Biological Clinical Science degree seeking until accepted into a program.
Program of Study
or  
Technical Education Programs:
Program of Study
or  
Associate of Interdepartmental Studies (A.IS) Yes
or
Non-Degree Seeking: (A student enrolled for credit coursework who does not plan to receive a degree or certificate. These students are not eligible for financial aid.) Yes
I would like help deciding on a Program of Study Yes
Additional Information
After attending OTC do you plan to transfer to a four year institution to continue your education? Yes   No   Unsure
If yes, which institution do you plan to attend? (Your directory information may be shared.)
If you selected Other, please indicate where you plan to attend?
How did you hear about OTC? (please check all that apply) College catalog
College fair
College representative
Course schedule
High school visit
Internet
Newspaper
Personal contact
Radio
TV
Other
Have either of your parents or guardians earned a bachelor's degree? Yes     No
What is your Education Objective?
Are you currently employed? Yes     No
Do you plan on working while attending OTC? Yes     No
If yes, how many hours a week do you plan to work?
What factors influenced your decision to attend OTC? (please check all that apply) A+ eligibility
Affordability
College reputation
Friends
Location
Program of study
Small class sizes
Other
Funded Program Information (please check all that apply) Single Parent
(Unmarried or separated and has custody of a minor child or is pregnant)
Nontraditional career seeker
(Students seeking occupations typically chosen by the opposite gender)
Displaced homemaker
(Individuals whose primary vocation has been homemaking but now must seek paid employment due to separation, divorce, or death of spouse)
None of the above
The following is requested for purposes of federal and state compliance reporting and is not used to determine admimission status.

Are you Hispanic or Latino? Yes     No

Please check all that apply:
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Disability and Non-Discrimination Information
If you require an accommodation due to a disability under the Americans with Disabilities Act, please contact OTC’s Disability Support Services office prior to the beginning of the semester.

Ozarks Technical Community College prohibits discrimination and harassment and provides equal opportunities in its admissions, educational programs, activities, and employment regardless of race, ethnicity, religion, gender, national origin, age marital status, sexual orientation, political affiliation, veteran status, and disabilities.
Verification
Upon admission to Ozarks Technical Community College (OTC), I agree to abide by the Student Code of Conduct and all rules and regulations of OTC. I hereby certify that to the best of my knowledge the preceding information is true.
  • I understand that the deliberate falsification and/or omission of information pertaining to the application may result in immediate dismissal and full loss of credits.
  • Random and periodic residency verifications will be conducted, which will require those who are selected to complete a Residency Affidavit Form and submit a minimum of two items to prove residency at the home address on file with the Admissions Office.
  • Students visiting from another college or planning to transfer accept the responsibility for verifying the acceptability and/or degree applicability for OTC credit at the other institution.
  • Email is considered the primary method for communication at OTC. Email communications are intended to meet the academic and administrative needs of the campus community. The College has the right and expectation that such communications will be received and read in a timely fashion. To enable this process, the College ensures that all students can be accessed through a standardized, college issued email account throughout their academic time at OTC.
  • I consent for the electronic delivery of IRS forms, student account billings, collection notices and direct deposit of refunds.
  • Use of tobacco at any OTC campus or education center is prohibited.
I agree to abide by the statements on the OTC application and I certify the information I have provided on this admissions application is correct to the best of my knowledge.