Thank you for choosing Southwestern again to help you meet your educational goals. In order to complete this application, please confirm you are logged into myLakerLink with your student ID number and password.
If you are a returning Southwestern student and need assistance logging into myLakerLink, please contact the Student First Stop Center.
Coos County: 541-888-7352 or email@example.comCurry County: 541-813-1668 or firstname.lastname@example.org
If you are new to Southwestern, please go to XXXX to choose the correct application.
I plan to attend Summer term starts the academic year
The majority of my courses will be taken:
My enrollment status will be:
Do you plan to live in Student Housing?NOTE: Students who are under 21 years of age, have less than 45 college credits, and are from outside of the college district must live in housing.
I first heard about Southwestern:
Southwestern Oregon Community College does not discriminate on the basis of race, color, gender, sexual orientation, marital status, religion, national origin, age, disability status, or protected veterans in employment, education, or activities as set forth in compliance with federal and state statutes and regulations.
Please complete all blank questions and update any changed information.
Student ID Number
Legal First/Given Name
Legal Middle Name
Suffix - Only provide if it is part of your legal name. Otherwise, leave blank.
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.
SSNEnter numbers only
What state are you a resident of? - If Oregon, but you have lived here less than 90 days, what state did you move from?
Resident Alien #
Country of Birth
Since you are an International student, you must complete the International Student Application, please click here to complete the International Student Application.
I am a U.S. veteran, on active duty, and/or a dependent of a U.S. veteran?
Active Duty with?
Would you like information about special needs accommodation services at Southwestern?
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.
Do you reside outside of the United States?
Address Line 1
Address Line 2
U.S. Zip Code
International 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
Southwestern Email Address
Confirm Southwestern Email Address
Personal Email Address
Confirm Personal Email Address
Emergency Contact Name
Relation to you
If any of these are true, choose Yes. Otherwise, choose No.
- I have a high school diploma- I am working toward a high school diploma, and/or- I have attended college other than Southwestern after high school
Please tell us about the institutions you attended - Such as the high school you graduated from or will be graduating from to any colleges you attended after high school.
State of Institution
Institution - If not listed, choose "School Not Listed."
Name of Institution
High school graduation year
High school graduation dateMust be in mm/dd/yyyy format
Click the "Save Your Institution(s)" button for each institution you have entered.
List of your high school and colleges attended:
I have or am working toward a GED
GED Test Date
Name of GED testing center
City of GED testing center
To help you meet your educational and career goals, please select one of the followingPathways that best meets your current interests:
Advanced Technology: Do you like to do hands-on projects, make things, solve problems, be creative? Do you like seeing a finished product for your efforts? If you enjoy hands on projects and working with equipment or technology, the Advanced Technology pathway could be for you. This pathway can lead to careers in computer software and hardware or welding.
Arts & Humanities: Do you enjoy literature, art, music, philosophy, ideas? Are you interested in visual and performing arts? Is communication important to you? The Arts and Humanities pathway prepares you to be a well-rounded student while you study to transfer to a university. Explore options in the arts and humanities while feeding your creative side.
Business & Culinary: Do you have strong leadership skills and an entrepreneurial spirit? Do you want to open your own business? This area can prepare you to work in the Culinary Arts, hospitality, or Business Administration. This pathway also lends well to those who are good with numbers. Careers in accounting, culinary arts, hospitality, and business are always in demand.
Health & Public Safety: Do you like to care for others, solve problems, work in a team, help people improve their lives? If you feel a call to help others, the Health & Public Safety pathway is for you. Southwestern has robust health and medical programs that serve the needs of our community – Nursing, Dental, and Paramedic to name a few. You can also serve your community through our Fire Science or Criminal Justice programs. Strong leaders are encouraged to apply.
Social Sciences & Education: Do like to observe the behavior and relationships of people and society? Are you interested in the way we learn, evolve, or play? The Social Sciences & Education pathway leads to an exploration of the human experience. If you are interested in archaeology, sociology, anthropology, psychology, history, being a teacher, or working with children, choose this pathway to prepare for a fulfilling career.
Science, Technology, Engineering & Mathematics (STEM): Do you like to study living and non-living things, protect the environment, conduct experiments, and solve problems? Science, Technology, Engineering, and Math (STEM) careers are among the highest paid and fastest growing. STEM programs at Southwestern can lead to careers in engineering, laboratory science, forestry and natural resources, medicine, and more. Our programs will give you the skills to excel and prepare you for a career that has an impact on our world.
Please choose the area that best fits your current academic and career goals or interest.