EAST CENTRAL UNIVERSITY
APPLICATION FOR ADMISSION / READMISSION
Office of Admissions and Records
1100 E. 14th Street, ECU PMB J8
Ada, Oklahoma  74820-6999
580-332-8000
email:registrar@ecok.edu

Each student who plans to enter East Central University for the first time must have all the following on file in the Office of Admissions and Records:

  • If an undergraduate student, your ACT report, a current official transcript from your high school and college(s), and a copy of your current schedule.   High school transcript should indicate GPA and rank.  If your transcript is submitted prior to high school graduation or completion of final semester at another college, send your final transcript when complete.
  • If a graduate student, copies of your official transcripts, showing your last degree and any other graduate work attempted.
  • This Admission form.
  • $20 Application Fee for Undergraduate Students or $50 Application Fee for International Students.

Section 1.
I plan to enter East Central:
       Summer
       Fall      
       Spring   
       Year 

Have you enrolled at ECU before? Yes  No   (either on-campus or via distance education)
Under what name were you enrolled?  
If yes, what year did you last attend? 
Section 2.
Social Security No. (9 digits, no dashes) - -
LEGAL NAME: Last Name      First Name   Middle Initial   Jr/Sr 
Former Name(s)
Section 3.   Non-U.S. Citizens Only:
Do you have "Permanent Resident" status in the United States?  Yes  No  Not Applicable
If you answered "NO" to the above question:  Foreign - Country of Resident  Country of Citizenship 
Section 4.   The information in this section is voluntary and requested for reporting purposes only in accordance with the 1968 Civil Rights Act as amended.
RACE:
TRIBAL INFORMATION IF AMERICAN INDIAN/ALASKAN NATIVE:
Tribe Name Lineage

Section 5.  RESIDENCE STATUS:
Has your residence been in Oklahoma for the past 12 months?  Yes No
Are you, by regulations, an Oklahoma resident?  Yes No
Oklahoma resident - County of Residence
State of Residence
Section 6.
SEX:  Male    Female
DATE OF BIRTH:    Month:  Date:  Year(four digits):
PLACE OF BIRTH (CITY, STATE):
Section 7.  CLASSIFICATION:
Section 8.  EDUCATIONAL OBJECTIVES:
Are you working towards a degree?  Yes    No
Do you plan to graduate from ECU?    Yes    No
Major field of study
Section 9.  HIGH SCHOOL INFORMATION:
Name of last high school attended:
City and State:    
Graduation date (year)    If you did not graduate, do you have a GED?    Yes    No Not Applicable
Have you taken the ACT or SAT?    Yes    No    When(mm/yyyy)?    National    Residual
International Students: Have you taken the TOEFL in the last 2 years?    Yes    No    When(mm/yyyy)?    Score   
Section 10.  STUDENT PERMANENT MAILING ADDRESS:  (No. P. O. Box for International Address, please)
Address:    City:   State: Zip:
Phone:
Section 11.  STUDENT LOCAL ADDRESS:  (If different from Permanent Address)
Address:    City:   State:  Zip:
Phone:

Section 12.  List names and locations of ALL colleges and universities in which you have enrolled.  If you have ever attended ECU, including courses taught via Distance Education, list in this section also.  If you hold a bachelor's degree, list only your degree college and other colleges attended later.

Are you eligible to re-enter now, in good standing - without probation - all schools previously attended?    Yes    No    Not Applicable
Is your total college grade average C or above?  Yes    No Not Applicable

Name of college or university 
List in Order of Attendance
City and State
Dates of 
Attendance
mm/yyyy-mm/yyyy
Sem Hrs 
Attempted
Degree Earned and 
Date of Graduate
(Failure to list institutions attended may result in loss of credit or dismissal.)

Section 13.
Have you ever, for reasons of conduct, been considered ineligible for enrollment at an educational institution?  Yes  No
Have you been convicted of, or pled guilty or no contest to a felony?  Yes  No

If you answered yes to either of these questions, please write a description of the circumstances (500 characters maximum):

Your e-mail address.  This is necessary for us to send you further information.

I understand that my submission of this form will be considered a "signature".