I plan to attend 
Summer term starts the academic year

Year

Term

The majority of my courses will be taken:

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.

How did you hear about Southwestern (SWOCC)? Select up to three.

First answer:

Second answer:

Third answer:

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.

First Name- as you would like it to appear in communications and class roster

Middle Name

Last Name- as you would like it to appear in communications and class roster

Legal First Name

Legal Last Name

Suffix - Only provide if it is part of your legal name.  Otherwise, leave blank.

Previous Last Name - Only provide if different than your current Legal Last Name.  Otherwise, leave blank. 

Birth Date

Legal Sex 

Social Security Number-
If you do not have a SSN, please enter 000000000.

Citizenship Status

What is your current state of residency? - If you have lived in your current state less than 90 days, what state did you move from?

Are you Hispanic or Latinx?

Race 

Resident Alien #

Country of Birth

I am a U.S. veteran, on active duty, and/or a dependent of a U.S. veteran?

I am

Military Branch

I am

Active Duty with?

I am

I am

I am

Would you like information on Americans with Disabilities Act/Section 504 accommodations/accessible education services at Southwestern?

Is English the primary language spoken in your home?

Did either parent graduate with a four-year degree before your 18th birthday?

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.

Do you reside outside of the United States?

Home Address

Address Line 1

Address Line 2

U.S. Zip Code

International Zip Code

City

State

County

Country

Is your Mailing Address different than your Home Address? - Provide if different than your home address.  Otherwise, skip this section.

Address Line 1

Address Line 2

Zip Code

City

State

Country

Home Phone Number 

Cell Phone Number 

Email Address

Note: Please use an email address you will be able to access for the next year. We do not recommend using an email associated with a previous school.

Confirm Email Address

Who should we call if you have an emergency?

Phone

Relation to you

High School Information

Do you have a GED?

My high school status is
Choose one

State of High School

High School Name - If not listed, choose "School Not Listed."

Name of High School

City

High School graduation year

High School graduation year
Must be in mm/dd/yyyy format

GED Test Date

Name of GED testing center

City of GED testing center

State of Institution

College Information

I am a

Cand Stage

Have you attended another college?

You are required to provide transcripts of all colleges you attended after high school.  Please submit your official grade transcripts to Southwestern.

Southwestern Oregon Community College
Attn: Transcript Evaluator
1988 Newmark Ave
Coos Bay, OR 97420

State of College

College Name - If not listed, choose "School Not Listed."

Name of College

City

Degree - if applicable
Otherwise, leave blank

List of your colleges attended:

If you are unsure which degree you'd like to declare, we encourage you to explore our Academic Pathway's page before choosing a degree and submitting an application. If you are applying for Pre-Nursing, select AA: Oregon Transfer: AAOT as Program of Study and Pre-Nursing as Area of Interest

Planned Course of Study

Select Area of Interest

By completing the admissions application, you are agreeing to be contacted in the form of email, texting, and phone calls. If you prefer not to be contacted by one or more of these forms of communication, email the Southwestern admissions office at admissions@socc.edu, or call 541-888-7636 to choose your preferences.

Degree Code