Welcome toSouthwestern Oregon Community College!
Southwestern is happy to provide you with educational options that fit your needs! Whether you are here to learn a new skill, express your creativity, earn a GED, or learn to speak English – We can Help!
Please complete this form so we can guide you through the process of getting started.
In order to complete this application, please confirm you are:
- planning to earn a GED and/or - interested in English as a second language courses and/or - interested in upgrading skills before entering college
Please start over and complete applicable application.
When do you plan to attend? Summer term starts the academic year
I plan to attend the majority of my courses:
I first heard about Southwestern:
Legal First/Given Name
Legal Middle Name
Suffix - Only provide if it is part of your legal name. Otherwise, leave blank.
First Name- as you would like it to appear in communications and class roster
Birth or Maiden Name - Only provide if different than your Legal name. Otherwise, leave blank.
Other Names - Only provide if different than above. Otherwise, leave blank.
Birth DatePlease use format of mm/dd/yyyy
What state are you a resident of? - If Oregon, but you have lived here less than 90 days, what state did you move from?
I am a U.S. veteran, on active duty, and/or a dependent of a U.S. veteran?
Active Duty Branch
Providing your Social Security Number (SSN) to Southwestern Oregon Community College is needed:
- You must use your SSN if you plan to file for federal financial aid, grants, loans, scholarships.
- You may be eligible for a tax credit. SWOCC needs your SSN to furnish a statement for your taxes. To comply with the Tax Payer Relief Act of 1997, Southwestern Oregon Community College must obtain your correct SSN.
- Your SSN is the one identifier that is unique to you, all of your school records secure.
By providing your Social Security Number, the college will use it for keeping records, performing research, reporting enrollment, aggregate reporting, extending credit and collecting debts, and providing required information related to the Taxpayer Relief Act of 1997 to IRS. Your Social Security number will not be given to the general public.
To comply with the Tax Payer Relief Act of 1997, Southwestern Oregon Community College must obtain your correct social security number (SSN) to file returns with the Internal Revenue Service (IRS) and to furnish a statement to you. The returns filed by SWOCC must contain information about qualified tuition and related expenses. The Privacy Act of 1974, section 6109 of the Internal Revenue Code, requires you to give your correct SSN to agencies who must file information returns with the IRS. The IRS uses your SSN for identification and to verify the accuracy of your tax return. For more information please refer to Internal Revenue Code section 6050S.
Your SSN will not be used as your student ID at Southwestern Oregon Community College.
If you choose to not provide your Social Security Number, you may contact Southwestern’s Admissions office at 541-888-7636 for instructions on completing an in-person application.
Address Line 1
Address Line 2
U.S. Zip Code
Is your Mailing Address different than your Home Address? - Provide if different than your home address. Otherwise, skip this section.
Address Line 2
Home Phone Number - Provide only if you have a land line
Cell Phone Number - Provide only if you have a cell phone
Confirm Email Address
Emergency Contact Name
Relation to you