California to Oregon
Exchange Program Application
Southern Oregon University
Oregon Institute of Technology
I hereby apply for permission to attend and pay resident fees under the Oregon Exchange
Agreement. (Check one):
Southern Oregon University (SOU)
Oregon Institute of Technology (OIT)
I plan my first enrollment at the above indicated institution:
Fall _________ Winter _________ Spring __________ Summer __________
year year year year
My intended major or degree program is ________________________________________
I am a resident of California as defined in California Education Code, Section 68062, and
Title V 54020. I understand that the permit, when issued, does not constitute admission to
Southern Oregon University or
Oregon Institute of Technology
I must apply directly to the above indicated institution.
___________________________________ ___________________________________
Applicants Signature Printed Name
_______________________________________________________________________
Present Mailing Address
_______________________________________________________________________
Permanent Address
( _____ ) _________ - ________ _________________________ ________________
Phone Number Date of Birth Date
approved denied _______________ ____________________________
Date Signature of Approving Officer
Updated 08/07/2018
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