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:email@example.com
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".
East Central University
1100 E. 14th Street
Ada, Oklahoma 74820
East Central University's mission is to foster a learning environment in which students, faculty, staff, and community interact to educate students for life in a rapidly changing and culturally diverse society. Within its service area, East Central University provides leadership for economic development and cultural enhancement.