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1 Regional Campus Failure to complete all sections of this form may significantly delay the processing time of your application. For legibility and processing, please fill out this application in either blue or black ink. Remember to sign your application and include the $20 nonrefundable fee. Please indicate your campus choice by checking only one box. Chillicothe Eastern Lancaster Southern Zanesville Freshman Applicant Transfer Applicant Entry Term: Fall (August) College: Arts and Sciences Business Communication Education and Human Services Winter (January) Engineering and Technology Fine Arts Health Sciences and Professions Spring (March) Regional Higher Education University College Summer I (June) Summer II (July) Major: If you do not identify a major, you will be processed as an undecided student in University College. Major Code: Entry Year See major code list on page 6. Personal Information Name last first middle suffix Previous Name (other name your transcripts might appear under) last first middle suffix Gender Male Female Date of Birth / / (mm/dd/yyyy) month day Social Security Number Please verify the accuracy of your Social Security Number before submitting your application. Entering an inaccurate SSN could cause significant problems with your student record, especially if you intend to apply for need-based financial aid at Ohio University. While submission of the SSN is optional on the application for admission and scholarships, please note that students who have not supplied a Social Security Number to Ohio University cannot be considered for need-based financial aid. If you do not wish to provide a SSN at this time but would like to be considered for financial aid at OHIO, you will need to supply official documentation of your SSN to Undergraduate Admissions in advance of your FAFSA results being sent to Ohio University. Have you ever been convicted of a felony? At all times, as an applicant or student, you are required to notify Ohio University s Office of Legal Affairs of any felony conviction. Are you currently charged or under indictment for a felony? For office use only: AD RS Initial: Fee: Y N W 1

2 Residency and Citizenship Are you a U.S. citizen or permanent resident? Are you an international student? If yes, please complete the International Application for Admission and Scholarships. Do not complete this form. Are you an Ohio resident? If yes, since when? If you are an Ohio resident, what is your county of residence? Could someone else claim you on the previous tax return? Birth Location City State Country If you were not born in the U.S. but are a U.S. Citizen or Permanent Resident, please submit proof of this status. Contact Information Permanent Home Address street street 2 city state zip/postal code county country (if not U.S.) Valid as of Mailing Address (if different from permanent) street street 2 city state zip/postal code county Telephone and Address country (if not U.S.) Valid as of permanent telephone cell phone address Note: This address will be used for correspondence from Ohio University. Please notify Student Services if this address changes. Ethnic Background [optional] This information is optional and will not be used for discriminatory purposes. Are you Hispanic/Latino? Select one or more of the races from the following: American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander White 2

3 Military Status Are you currently serving on active duty in the U.S. Armed Forces for purposes other than training? For purposes of the following questions, a veteran is defined as an individual who (1) has engaged in active duty in the U.S. Armed Forces (Army, Navy, Air Force, Marines or Coast Guard) or is a National Guard or Reserve enlistee who was called to active duty for other than state or training purposes, or was a cadet or midshipman at one of the service academies, and (2) was released under a condition other than dishonorable. Also answer Yes if these conditions do not apply now but will apply by June 30. An individual should answer No if he/she (1) has never engaged in active duty in the U.S. Armed Forces, (2) is currently an ROTC student or cadet or midshipman at a service academy, (3) is a national Guard or Reserve enlistee activated only for state or training purposes, or (4) was engaged in active duty in the U.S. Armed Forces but released under dishonorable conditions. Are you a veteran of the U.S. Armed Forces? Is your parent (mother, father, step-mother, step-father) or legal guardian a veteran of the U.S. Armed Forces? Is your spouse a veteran of the U.S. Armed Forces? Are you currently a member of the National Guard or the Armed Forces reserve? Emergency Contact Information Name last first street street 2 city state zip/postal code county country (if not U.S.) telephone (include area code) Home Work Cell Relationship to applicant: Mother Father Step-Father Step-Mother Legal Guardian Spouse Other Family Information [optional] Will you be the first person in your family to go to college? If your parents are divorced or separated, please respond to these questions about the parent(s) you lived with more during the past twelve months, even if one is a step-parent. Parent/Guardian 1 Highest school this parent/guardian completed: Less Than HS Graduate Did this parent graduate from Ohio University? Is this parent an employee of Ohio University? Parent/Guardian 1 Name: HS Graduate or Equivalent Some College Technical School 2-Year College Degree Bachelor s Level Degree Some Graduate School Master s Level Degree Doctorate (Academic) Doctorate (Professional) Post-Doctorate If yes, of graduation ( y y y y ) last first address Relationship to applicant: Mother Father Step-Father Step-Mother Legal Guardian Other [Family Information continued on next page.] 3

4 Family Information [continued] Parent/Guardian 2 Highest school this parent/guardian completed: Less Than HS Graduate Did this parent graduate from Ohio University? Is this parent an employee of Ohio University? Parent/Guardian 2 Name: HS Graduate or Equivalent Some College Technical School 2-Year College Degree Bachelor s Level Degree Some Graduate School Master s Level Degree Doctorate (Academic) Doctorate (Professional) Post-Doctorate If yes, of graduation ( y y y y ) last first address Relationship to applicant: Mother Father Step-Father Step-Mother Legal Guardian Spouse Other Did any other family member graduate from Ohio University? If yes, graduate s name Year of graduation If yes, graduate s name Year of graduation ( y y y y ) ( y y y y ) Relationship to applicant Relationship to applicant High School Information High school type? Public Private Home school Name of High School Date of Graduation / month High School CEEB code Location city If you earned a GED, please indicate where and date received: state / month state Date(s) you have taken the ACT: I have taken/will take ACT / I have taken/will take ACT / month month 4

5 Education History Have you ever taken Ohio University coursework (regardless of location or level)? Have you attended any other colleges or universities? Have you ever been dismissed or suspended from high school or another college/university? If yes, indicate the institution, reason and date. Disciplinary Academic Date Have you ever been found responsible for a disciplinary violation at any school you have previously attended? You should answer yes to the above question if, at any time, you have been found responsible for any disciplinary violation at your school, whether related to academic misconduct or behavioral misconduct, that resulted in your probation, suspension, removal, dismissal, or expulsion from your institution. If yes, please attach an explanation. Are there any unresolved judicial charges still pending at any of your previous institutions? If yes, please attach an explanation. Are you eligible to return to every institution you have previously attended? If no, please attach an explanation. List all other colleges/universities attended prior to enrolling at Ohio University. If you enroll at another institution after submitting this application you must notify Undergraduate Admissions of that institution. Indicate dates of attendance and degrees earned, if applicable. Full Name of Institution City and State (only) Dates of Attendance Degree(s) Earned Statement of Integrity: I certify that the information contained within this application is complete and accurate, and I understand that submission of inaccurate information is sufficient cause for terminating my enrollment. Signature Date Please return this application with the $20 nonrefundable application fee to the Student Services Office of the Regional Campus you are applying to below: Ohio University Chillicothe 101 University Drive Chillicothe OH Ohio University Eastern National Road St. Clairsville OH Ohio University Lancaster 1570 Granville Pike Lancaster OH Ohio University Southern 1804 Liberty Avenue Ironton OH Ohio University Zanesville 1425 Newark Road Zanesville OH It is the policy of Ohio University that there shall be no discrimination against any individual in educational or employment opportunities because of race, religion, color, sex, sexual orientation, national origin, ancestry, age, gender identity or expression, mental or physical disability, or veteran status. Ohio University is an affirmative action institution. The following person has been designated to handle inquiries regarding the nondiscrimination policies: Executive Assistant to the Executive Vice President and Provost, Office for Institutional Equity, Ohio University, Athens, Ohio 45701, Telephone:

6 Regional Campus Degrees MAJOR CODE LIST The two-letter prefix of each major code indicates the type of degree awarded in that major. In some cases, it indicates that an additional application process is required for admission to the major. AA Associate in Arts AAS Associate in Applied Science AS Associate in Science BA Bachelor of Arts BB Bachelor of Business Administration Chillicothe AA1101 Arts and Humanities Emphasis A15508 Associate in Individualized Studies 3 AA5006 Business Management Technology AA1106 Child Development AA5010 Computer Science Technology AA5201 Human Services Technology AA5505 Law Enforcement Technology ND8833 Nursing, RN AA5014 Office Technology AA1110 Social Science Emphasis BS6180 Language Arts and Mathematics Eastern AA1101 Arts and Humanities Emphasis A15508 Associate in Individualized Studies 3 BS8105 Community Health Services BA4211 History ND3389 Pre-Exercise Physiology ND6603 Pre-Social Work AA1110 Social Science Emphasis BS6180 Language Arts and Mathematics BC Bachelor of Science in Communication BF Bachelor of Fine Arts BJ Bachelor of Science in Journalism BM Bachelor of Music BS Bachelor of Science Lancaster AA5002 Accounting Technology AA1101 Arts and Humanities Emphasis A15508 Associate in Individualized Studies 4 AA5006 Business Management Technology AA1106 Child Development AA5010 Computer Science Technology AA5003 Deaf Studies and Interpreting AA5013 Electronic Media AA5022 Health Technology BA4211 History AS5201 Human Services AA5020 Industrial Maintenance Technology AA5505 Law Enforcement Technology AA5019 Medical Assisting Technology AA1110 Social Science Emphasis BS6180 Language Arts and Mathmatics Southern AA5002 Accounting Technology AA1101 Arts and Humanities Emphasis AA5006 Business Management Technology AA1106 Child Development AA5010 Computer Science Technology AA5013 Electronic Media AA5017 Equine Studies BA4211 History AA5201 Human Services Technology ND Non-degree or undecided (sometimes used to indicate that a pre-major program is required prior to direct admission to the major) SA Additional action required AA5505 Law Enforcement Technology ND8833 Nursing, RN AA5014 Office Technology AA1110 Social Science Emphasis BS6180 Language Arts and Mathematics Zanesville AA5013 Associate in Electronic Media AA1101 Associate in Humanities AI5508 Associate in Individualized Studies 3 AA1110 Associate in Social Science BA4211 History ND8833 Nursing, RN ND6603 Pre-Social Work BS6180 Language Arts and Mathmatics Footnotes for regional majors 1. Requires an associate degree in an area related to criminal justice. Separate application required. Not open to freshmen. 2. Separate application required. Not open to freshmen. 3. Separate application required. 6

7 Athens Campus MAJOR CODE LIST College of Arts and Sciences Some of the majors in this college have two major codes. In general, with these majors you have the option of choosing either a degree program that is more science-oriented (BS) or one that is more liberal arts/humanities-oriented (BA). Details on curricular differences can be found in the College of Arts and Sciences section of the Undergraduate Catalog under the specific program listing. You may want to consult an admissions officer or a college representative about which option is more suitable for you. African American Studies BA4903 African American Studies Anthropology BA4252 Anthropology Biological Sciences BS2121 Biological Sciences BS2520 Cellular and Molecular Biology BA2129 Environmental Biology BA2128 Human Biology BS2126 Marine, Freshwater, and Environmental Biology BS0411 Microbiology BS2127 Pre-Dentistry BS2127 Pre-Medicine BS2127 Pre-Optometry BS2507 Pre-Physical Therapy BS2127 Pre-Veterinary Medicine BS2522 Wildlife and Conservation Biology Chemistry and Biochemistry BS3311, BA3311 Chemistry BS3316 Biochemistry BS3315 Environmental Chemistry BS3310 Forensic Chemistry BS3312 Pre-Dentistry BS3314 Pre-Medicine BS3313 Pre-Pharmacy Classics and World Religions BA5214 Classical Civilization BA5215 World Religions BA5217 Classical Languages Economics BA4221, BS4225 English BA5231 Economics English Environmental and Plant Biology BS2120 Environmental and Plant Biology BA2119 Field Ecology Geography BS4231, BA4231 BS4232 BS4240 BS4235 BS4238 BS4234 Geography Environmental Geography Environmental Pre-Law Geographic Information Science Meteorology Urban Planning Geological Sciences BS3321, BA3321 Geological Sciences BS3323 Environmental Geology History BA4211 BA4214 History Pre-Law International Studies BA4405 Global Studies Africa BA4406 Global Studies Asia BA4407 Global Studies Europe BA4408 Global Studies Latin America BA4409 Global Studies War and Peace Linguistics BA5290 Mathmatics BS3101, BA3101 BS3105 BS3103 BS3110 BS3106 Linguistics Modern Languages BA5221 French BA5222 German BA5224 Russian BA5225 Spanish Mathematics Actuarial Sciences Applied Mathematics Meteorology Statistics Philosophy BA5241 Philosophy BA5244 Pre-Law BA5242 Pre-Theology Physics BS3331, BA3331 BS3332 BS3335 BS3338 Physics Applied Physics Astrophysics Meteorology Political Science BA4201 Political Science BA4203 Pre-Law Psychology BA4101 Psychology BA4105 Pre-Physical Therapy Sociology BA4251 BA4253 BA4254 Sociology Criminology Pre-Law Undecided ND0410 Undecided 1 ND0406 Undecided-Humanities Preference 1 ND0408 Undecided-Social Sciences Preference 1 ND0407 Undecided-Natural Sciences Preference 1 Women s Studies BA4402 Women s and Gender Studies College of Business The Sport Management Major leads to the Bachelor of Sport Science. All other majors within the College of Business lead to the Bachelor of Business Administration. BB6121 BB6124 BB6120 BB6125 BB6122 BB6132 BB6126 Accounting Business Economics Business Pre-Law Finance General Business International Business Management and Strategic Leadership Management Information Systems Marketing BB6137 BB6127 ND8840 Pre-Sport Management 2, 3 ND0610 Undecided Scripps College of Communication Communication Studies BC5363 Communication and Public Advocacy BC5363 Organizational Communication BC5363 Health Communication Information and Telecommunication Systems BC5329 Information and Telecommunication Systems Journalism 4 Transfer applicants may declare one of these tracks on the required supplemental application. 4 BJ6906 News and Information BJ6907 Strategic Communication Media Arts and Studies BC5365 Animation and Gaming Industry BC5365 Documentary and Social Change BC5365 Media Impact and Analysis BC5365 Music Production and Industry BC5365 Screenwriting and Producing BC5365 Video and Audio Production Visual Communication 4 BS6924 Informational Graphics/ Publication Design BS6923 Multimedia BS6922 Photojournalism BS6925 Commercial Photography PATTON COLLEGE OF EDUCATION AND HUMAN SERVICES Early Childhood AA1106 Child Development ND8837 Pre-Early Childhood 3 Middle Childhood BS6175 Mathematics and Social Studies BS6178 Language Arts and Social Studies BS6180 Language Arts and Mathematics Adolescent to Young Adult (Secondary) BS6314 Life Science BS6315 Earth Science BS6306 Integrated Language Arts BS6307 Integrated Mathematics BS6309 Integrated Science BS6308 Integrated Social Studies BS6310 Physical Scie Multi-Age Programs BS6232 French BS6233 German BS6235 Spanish Special Education BS6316 Special Education-Intervention Specialist Mild-Moderate Educational Needs 5 BS6317 Special Education-Intervention Specialist Moderate-Intensive Educational Needs 5 Recreation and Sport Pedagogy ND8838 Pre-Physical Education 5 BS8156 Outdoor Recreation and Education BS8109 Recreation Management Human and Consumer Sciences Education ND6380 Pre-Retail Merchandising and Fashion Product Development 3 BS6370 Family and Consumer Sciences Education BS6361 Restaurant, Hotel and Tourism Undecided ND0810 Undecided 7

8 Athens Campus MAJOR CODE LIST Russ College of Engineering and Technology Aviation AA7268 BS7270 BS7269 Aviation Technology Aviation Management Flight Option Chemical and Biomolecular Engineering BS7251 Chemical Engineering BS7262 Chemical Engineering/ Materials track BS7263 Chemical Engineering/ Biological track BS7264 Chemical Engineering/Energy and the Environment track Civil Engineering BS7252 Civil Engineering Computer Science BS7260 Computer Science Electrical Engineering BS7253 Electrical Engineering track BS7254 Electrical Engineering/Computer Engineering track Industrial Systems Engineering BS7255 Industrial and Systems Engineering Engineering Technology and Management BS7256 Industrial Technology includes minor in business Mechanical Engineering BS7257 Mechanical Engineering Undecided Engineering ND0910 Undecided College of Fine Arts Art Freshmen are admitted to one of the following Bachelor of Arts programs. These are direct entry programs that do not require a portfolio review. BA5050 Studio Art 6 BA5149 Art History 6 Admission to any specific art major leading to a Bachelor of Fine Arts is contingent upon a successful portfolio review at the end of the sophomore. The following BFA programs are offered: Ceramics Graphic Design Interior Architecture 7 Painting Photography Printmaking Sculpture Dance A successful audition is required for all new freshmen and transfer students for admission to any major in dance. BA5150 Dance 8 BF5154 Performance and Choreography 6 Music Auditions are required for all new freshmen and transfer students for admission into any major in music. The following code leads to a Bachelor of Arts in music and requires a successful entry-level audition: BA5195 Music 8 The following codes lead to a Bachelor of Music degree and require a successful entry-level audition: BM5105 Music Composition 9 BM5106 Music EducationChoral Emphasis 9 BM5107 Music Education Instrumental Emphasis 9 BM5115 Music Therapy 9 BM5104 Piano Pedagogy 9 BM5100 Piano Performance 9 BM5103 Orchestral Instruments 9 BM5102 Organ Performance 9 BM5101 Voice Performance 9 Theater All applicants to the School of Theater apply using the Bachelor of Arts major code. This is a direct entry program that does not require an audition, interview or portfolio review: BA5194 Theater 8 Admission to the specialized Bachelor of Fine Arts tracks is contingent upon an application and a successful audition, interview, and/or portfolio review at the end of the first. The following BFA programs are offered: Stage Management 6 Performance (Acting) 6 Playwriting 6 Production Design and Technology 6 College of Health Sciences and Professions Applied Health Sciences and Wellness ND8142 Pre-Athletic Training 10 ND8839 Pre-Exercise Physiology 3 BS6363 Nutrition BS6360 Applied Nutrition Social and Public Health BS6468 Child and Family Studies BS8105 Community Health Services BS6260 Environmental Health Science BS3309 Industrial Hygiene BS6836 Long-Term Health Care Administration 11, 12 ND6603 Pre-Social Work Rehabilitation and Communication Sciences BS5305 Communication Sciences Band Disorders (formerly Hearing, Speech, and Language Sciences) Physical Therapy 13 Nursing This four- program leads to the Bachelor of Science in Nursing degree (BSN) for students seeking initial licensure as a registered nurse (RN). ND1220 Pre-Nursing 3 Undecided ND0210 Undecided University College Associate in Arts AA1114 Arts and Humanities Emphasis AA1110 Social Sciences Emphasis Associate in Individualized Studies AI5508 Associate in Individualized Studies 16 Associate in Science Baccalaureate Degrees BC2209 Bachelor of Criminal Justice 17 BS , 18 Bachelor of Specialized Studies Undecided 19 Footnotes 1. Not open to transfer students. 2. This program leads to a Bachelor of Sport Science degree. 3. Selective admission program. Upon successful completion of the preparatory program requirements, you must complete a separate application for the major program and admission is not guaranteed. 4. Transfer applicants must follow the additional application process outlined on this school or department s website. 5. Students admitted to this program must complete a separate application process during your first of study before you will be eligible to register for any major-specific courses. 6. Selective admission program. This program leads to a Bachelor of Fine Arts degree. 7. Selective admission program. Upon successful completion of the preparatory program requirements, you must pass the portfolio review at the end of the freshman to continue as an Interior Architecture major. 8. This program leads to a Bachelor of Arts degree. 9. Selective admission program. This program leads to a Bachelor of Music degree. 10. Selective program. Freshmen apply for full admission at the end of their first. Transfers refer to instructions. 11. This pre-professional program does not fulfill any degree but is intended as preparation for admission into a professional school or program. 12. You must complete the Pre-Social Work Program and submit a separate application before you can become a social work major. 13. Not open to first- students. Selective admission doctoral program. Major in a preparatory program such as Biological Sciences/Pre-Physical Therapy or Psychology/Pre-Physical Therapy in the College of Arts and Sciences, or Exercise Physiology in the College of Health Sciences and Professions. You must apply for the doctoral program through the School of Physical Therapy. 14. Undergraduate program in this area available only through HTC. 15. In general, the B.A. option provides a curriculum that is more liberal arts-oriented. You may want to consult an admissions advisor or a college representative regarding which option is more suitable for you. 16. Separate application required. Applicants must consult with a University College advisor or regional campus Student Services staff. 17. Requires an associate s degree in an area related to criminal justice for admission. Not open to first- students. 18. Not open to first- students. 19. Students may remain undecided until they have earned 45 semester hours of credit. Transfer applicants are strongly encouraged to select a major program of study. 8

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