Eastern Oklahoma State College

Online Application for Admissions


1301 West Main
Wilburton, OK 74578 
Phone: 918-465-1813
Toll Free: 855-534-3672 
TDD Number: 800-522-8506 
Fax: 918-465-4491
Email: admissions@eosc.edu 

Download a print version of Application for Admissions (pdf)



First-time students MUST have the following in the Office of Records Management/Registrar: 

  1. Official high school and/or college transcript(s) or GED certification and scores.   
  2. ACT scores or approved equivalent (SAT)   
  3. Completed admission application   
  4. Immunization records (Information on immunization requirements can be found on the Oklahoma State Department of Health's website)

Applicant Information

Social Security Number: *    

Email Address: *    

Salutation (Mr/Mrs/Miss): *

Last Name: *  

First name: *  

Middle Initial:

Other Names /Aliases

Student Mailing Address: *  

City: *  

State: *  

Zip: *  

Country: *  

Phone:

Cell Phone:

Birth Month: *  

Birth Day: *  

Birth Year: *  

City of Birth

State of Birth:

Gender:


Residency Information

Residency Status: *  

If not a U.S. Citizen, please list country of citizenship:

Are you a resident of Oklahoma?

if no, what State?

How many years have you lived in Oklahoma?

In which Oklahoma county do you live?


Race/Ethnicity Information (Optional)

Which group best describes you?

If the answer was American Indian, please name tribe:

Select Tribal Family Line:

Education Information

In which state did you attend high school?

Name of High School: *  

Graduation Month: *  

Graduation Year: *  

Overall High School GPA (A=4.0)

Class Rank:

Out of:
 
Please select the test(s) you have taken: *


If you did not complete high school, did you complete a GED?

Date:

Are you the first member of your family to attend college?

Have either of your parents earned a 4-year degree?



Colleges and Universities Attended - List each College once

State of College #1:

Name of College #1:

Date Attended (mm/dd/yyyy):  

Date of Graduation (mm/dd/yyyy):  

Degree Earned:

State of College #2:

Name of College #2:

Date Attended (mm/dd/yyyy):  

Date of Graduation (mm/dd/yyyy):  

Degree Earned:

State of College #3:

Name of College #3:

Date Attended (mm/dd/yyyy):  


Date of Graduation (mm/dd/yyyy):  


Degree Earned:

College Classification:

If you were a *Former Eastern Student - semester/year attended:  

Name when last attended:


Educational Goals While Attending Eastern

I plan to enter Eastern in the year:
Semester:  
  Location: *




  Are you working toward a degree? *

  Do you plan to graduate from Eastern? *


  Which of the following best describes why you are attending Eastern:*








Anticipated Major



Which division do you want your degree from?
Which program do you want to pursue?

Are you currently enrolled at another college/university?

Have you ever been dismissed or suspended from any college or university?
If yes, where?

Have you ever been placed on academic probation?
If yes, where?



Parent/Emergency Contact

Name #1

Address

Phone

Alt Phone

Relationship

Name #2

Address

Phone

Alt Phone

Relationship


I have/will completed the Free Application for Federal Student Aid (FAFSA)
I have applied for OHLAP
are you a Veteran?

If yes:
which branch of the service?

Start date of Service


I hereby affirm that all information supplied on this form is complete and accurate. It is my understanding that I shall not be considered for admission to Eastern until I submit all credentials specified. I understand that withholding requested information, except where it is voluntary for me to furnish the information or giving false information, will make me ineligible for admission and enrollment. If I am accepted as a student of Eastern Oklahoma State College, I agree to abide by the rules and regulations of the college.an>

Upon submitting this form you understand and agree to the statement above.


Eastern Oklahoma State College, in compliance with Title VI and VII of the Civil Rights Act of 1964, Executive Order 11246 as amended, and Title IX of the Education Amendments of 1972 (Higher Education Act), the Americans with Disabilities Act of 1990, and other federal and state laws and regulations, does not discriminate on the basis of race, color, national origin, genetic information, sex, age, sexual orientation, gender identity, religion, disability, or status as a veteran, in any of its policies, practices or procedures. This provision includes, but is not limited to admissions, employment, financial aid, and educational services. 

Eastern Oklahoma State College complies with federal law in compiling an Annual Security and Fire Safety Report. This report contains the institution’s policies, procedures and programs concerning safety and security, selected crime statistics, fire safety information, fire statistics for residential student housing and other information of interest to students, faculty, staff, prospective employees and prospective students. This report is available online at http://www.eosc.edu/safety or you may request a paper copy from the Office of Student Services.