SOCIAL SECURITY NUMBER: Once your initial Application for Admission is processed, you will be assigned a COCC ID number. Use this number
to register for classes and other college related business. Providing your social security number (SSN) is voluntary. If you provide it, the College will use
your SSN for keeping records, research and reporting, extending credit, processing debts, IRS reporting and allowing students access to the COCC library
systems. e College will not use your number to make any decision directly aecting you or any other person. Your SSN will not be given to the general
public. If you choose not to provide your SSN, you will not be denied any rights as a student. Please read the consent for information contained in the
catalog, which describes how your number will be used. Providing your SSN means that you consent to use of the number in the manner described.
PLEASE CONTINUE APPLICATION ON FOLLOWING PAGE
None
0
Associate degree
3
Some college/short-term training
1
Bachelors degree
4
One-year certicate from a Master’s degree
5
community college
2
Ph.D.
6
DEGREE EARNED TO DATE
EDLEVEL
6
Degree & Program: Code:
(See third page)
I am NOT a certicate- or degree-seeking student and I
NCDS, 4
understand that I am not eligible to receive nancial aid.
I am a certicate- or degree-seeking student.
CDS
EDUCATIONAL GOAL (Select One)
DEGREE
5
I have lived in or owned property in the COCC district for
one calendar year prior to my intended rst term.
I am 23 or younger and my parents/guardian have lived or
owned property in the COCC district for one calendar year
prior to my intended rst term.
I have lived outside of the COCC district during the year
prior to my intended rst term in :
☐ OR
1
☐ CA
5
☐ NV
4
☐ ID
2
WA
3
☐ Other
6
I qualify for in-state tuition under COCC’s Native American
tuition residency policy (see interior page for details)
Please note that Residency Status will aect tuition. Detailed
descriptions of Residency Statuses are listed on the second page.
RESIDENCY
4
Also be taking classes towards my high school diploma
0
Be a rst time college freshman
1
Be returning to COCC aer an absence of one year or more
3
Have attended another college
4
WHEN I BEGIN COCC CLASSES, I WILL :
STDTYPE
3
COCC is not authorized to admit international students and is unable
to accept the following VISA types: F1, J1 and M1. Other students are
encouraged to contact an immigration ocial to ensure that registration
at COCC does not conict with their immigration status.
Citizenship ☐ I am a U.S. citizen
1
☐ Resident Alien
3
☐ Refugee/Immigrant
5
☐ Non-Resident Alien
4
Visa-Type: _______
Do you consider yourself to be Hispanic/Latino? ☐ Yes ☐ No
In addition, select one or more of the following that apply:
☐ American Indian or Alaska Native
2
☐ Asian
7
☐ Black or African American
1
☐ White
5
☐ Native Hawaiian or Other Pacic Islander
8
Email
is will be used as a recovery email for your COCC accounts.
Gender ☐ Male ☐ Female
Date of Birth
mm / dd / yyyy
DEMOGRAPHIC INFORMATION
2
Mailing Address:
Street City State Zip
Permanent Address:
Street City State Zip
Phone Numbers:
Phone Text
COCC uses text messages for college emergencies and other important notications.
Preferred First Name (if dierent from Legal First Name):
Name:
Last First Middle Previous
Social Security Number: Your Intended First Term:
See “SOCIAL SECURITY NUMBER” below Term Ye a r
Oce Use Only
COCC ID Fees
APPLICATION FOR ADMISSION: Application DEADLINE is the
Wednesday prior to the beginning of the term. All NEW students (those
who have NEVER taken credit classes at COCC) must submit a $25 non-
refundable application fee at the time of application. Applications will not
be processed without the fee. All new students and those returning aer
an absence of one year or greater must submit an application.
1
Email
Updated 09/18
RESIDENCY: Residency classication will be made according to the following denitions; see the COCC Catalog for complete details. Note that in-state and out-of-state
students will convert to in-district two years aer the term they begin classes:
In-district residency: An individual who, for one full year prior to beginning to take credit classes has either: a) owned property (or if under the age of 24, whose parent/
guardian owns property); or b) maintained a permanent and continuous residence in the district will be classied as an in-district resident. e COCC district consists of all
of Deschutes, Crook and Jeerson counties, the northern portions of Klamath and Lake counties and the Warm Springs Indian Reservation in Jeerson and Wasco counties.
Out-of-district (in-state) residency: An individual who, for one full year prior to beginning to take credit classes has either: a) owned property (or if under the age of 24,
whose parent/guardian owns property); or b) maintained a permanent and continuous residence in the state of Oregon (but outside the COCC district) will be classied as
an out-of-district student for two calendar years aer the term in which the student began courses; at that time, the student will convert to in-district residency.
Out-of-state residency (CA, ID, NV, WA residents see exemption): An individual who has not maintained a permanent and continuous residence in the state of Oregon during
the year prior to the beginning of the rst term of enrollment will be classied as an out-of-state resident. e student will remain an out-of-state student for two calendar
years aer the term in which the student began courses; at that time, the student will convert to in-district residency.
Exemption: Per Oregon Administrative Rules, residents of California, Idaho, Nevada and Washington will be charged out-of-district (in-state) tuition.
Verication: Residency of each applicant for college credit courses is determined from information provided at the time of application. When there appears to be an
inconsistency, the college sta may require documentation to verify residency.
Native American Students: Students who are enrolled members of federally recognized tribes of Oregon or who are enrolled members of a Native American tribe which
had traditional and customary tribal boundaries that include parts of the state of Oregon or which had ceded or reserved lands within the state of Oregon shall be charged
in-state tuition regardless of their state of residence (note that residents of the Confederated Tribes of Warm Springs are charged in-district tuition). For a listing of eligible
tribes, visit COCC’s website. Note that students must provide a copy of tribal enrollment documents to the Director of Admissions/Registrar prior to starting classes.
Military Personnel: Certain out-of-district and out-of-state veteran students will be classied as “non-resident Veteran” students for residency/tuition classication purposes.
NON-DISCRIMINATION POLICY:
e goal of Central Oregon Community College is to provide an atmosphere that
encourages our faculty, sta and students to realize their full potential. In support
of this goal, it is the policy of Central Oregon Community College that there will
be no discrimination or harassment on the basis of age, disability, sex, marital
status, gender identity, genetic information, citizen status, veteran status or any
other classes protected under Federal and State statutes in any education program,
activities or employment. Persons having questions about equal opportunity and
non-discrimination should contact the Equal Employment Ocer, c/o COCC’s
Human Resources oce, 541.383.7216. Faculty, sta and students are protected
from discrimination and harassment under Title VII of the Civil Rights Act of 1964
and Title IX of the Education Amendments of 1972. Persons attending classes or
events who need accommodation for a specic disability should contact the oce
of Services for Students with Disabilities at 541.383.7583. Persons needing physical
accommodation for a college special event should contact the ADA Coordinator at
541.383.7775. Further inquiries may be directed to the Armative Action Ocer,
c/o COCC’s Human Resources oce, 541.383.7216.
x
Signature, attesting that all information above is true. Date
12
Club and Intramural Sports Student Government
Student Clubs Career Services
Student Newspaper Tutoring Services
Native American Program Multicultural Ctr/Programs
On-Campus Housing Latino Program
Disability Services
WOULD YOU LIKE INFORMATION ON ANY OF THE
FOLLOWING STUDENT SERVICES?
11
THE FOLLOWING INFORMATION IS VOLUNTARY AND
IS REQUESTED FOR STATE AND FEDERAL REPORTS
(Check all that apply)
SGAUSDF
Veteran of US military
ELEMENT 3
One or both parents (step-parents or guardians) earned a four
year degree
ELEMENT 5
I speak a language other than English at home
ELEMENT 2
e language spoken at home is:_________________
10
Take classes to transfer to another
college
0
Improve writing,
reading or math skills
5
Learn skills to get a job
1
Learn English
6
Improve current job skills
2
Personal enrichment
7
Explore career/education options
3
To earn a degree/cert
11
Finish high school/GED
4
Increase knowledge
9
WHY ARE YOU ATTENDING COCC? (Check One)
SGAUSDF-ELEMENT 1
9
Note: Please submit ocial copies of your other institutions
transcripts before making an advising appointment.
Name City State Year(s)
COLLEGES/UNIVERSITIES PREVIOUSLY
ATTENDED
SOAPCOL
8
Currently in high school
0
GED
2
High school graduate
1
Adult High School Diploma
4
Modied Diploma
6
(as dened by ORS 329.451)
Not a graduate
3
Date last attended:
Other Completion
5
HIGH SCHOOL EDUCATION
SOAHSCH
7
High School:
City: State:
Graduation Year or Anticipated Graduation Year:
OR
Where and when GED/Adult High School Diploma was earned
City: State: Year :
click to sign
signature
click to edit
Program Type Code
Not Seeking a Degree
NE
3300
Addictions Studies/Human
Services
AAS 5103
Addictions Studies/Human
Services
CC 5101
Agricultural Sciences AS 1870
Anthropology AAOT 1391
Art AAOT 1214
Automotive Basic Skills with
Engine Performance
NE
STCC 7131
Automotive Basic Skills with
Welding
NE
STCC 7130
Automotive Clean Energy Diesel
Technician (Advanced)
NE
STCC 7134
Automotive Controller Systems
Technician I
NE
STCC 7135
Automotive Controller Systems
Technician II
STCC 7136
Automotive Drive Train
Technician
NE
STCC 7142
Automotive Electrical Technician
(Basic)
NE
STCC 7151
Automotive Electrical Technician
(Advanced)
NE
STCC 7152
Automotive Engine Technician
NE
STCC 7143
Automotive Engine Performance
Technician
NE
STCC 7153
Automotive Heating and Air
Conditioning Technician
NE
STCC 7144
Automotive Hybrid Electric
NE
Vehicles I
STCC 7132
Automotive Hybrid Electric
Vehicles II
STCC 7133
Automotive Management AAS 5142
Automotive Master Technician CC 5140
Automotive Technology -
Electronics and Diagnostics
AAS 5143
Automotive Undercar Technician
NE
STCC 7146
Aviation AS 1810
Aviation Professional Pilot -
Airplane
AAS 5120
Aviation Unmanned Aerial
Systems Operations
AAS 5118
Aviation Professional Pilot -
Helicopter
AAS 5122
Biological Sciences AAOT 1120
Business Administration ASOT 1130
Accounting AAS 5161
Accounting Clerk CC 5167
Small Bus/Entrepreneurship AAS 5171
Entrepreneurship CC 5172
Program Type Code
General Business AAS 5160
Management AAS 5169
Marketing Communications CC 5173
Oce Assistant CC 5185
Retail Management CC 5166
Chemistry AAOT 1341
Computer and Information
Systems
AAS 5200
Computer and Information
Systems
CC 5202
Computer Aided Draing
(CAD)
CC 5203
Computer Aided Draing
(CAD)
AAS 5208
Cybersecurity
NE
STCC 7204
Desktop Support AAS 5206
Networking AAS 5204
Web Development/Database AAS 5207
Computer Science ASOT 1125
Communication/Journalism AAOT 1140
Criminal Justice AAS 5240
Criminal Justice AAOT 1160
Juvenile Corrections CC 5450
Culinary Arts AAS 5262
Culinary Arts CC 5260
Baking and Pastry Arts AAS 5263
Baking and Pastry Arts CC 5264
Dental - Pre AAOT 1360
Dental Assisting CC 5280
Dental Hygiene AAOT 1348
Economics AAOT 1392
Education - Early Childhood AAOT 1175
Education - Early Childhood AAS 5340
Child, Family, and Community
Studies
NE
STCC 7342
Developmentally Appropriate
Learning Environments
NE
STCC 7341
Education - Elementary AAOT 1182
Education - Secondary AAOT 1184
Engineering AS 1820
English/Literature AAOT 1197
Exercise Science/Kinesiology AAOT 1270
Exploratory/Undecided AAOT 1200
Fire Service Administration AS 1860
Forestry AS 1830
Forest Resources Technology AAS 5380
Advanced Forest Concepts
NE
STCC 7382
CERTIFICATES & DEGREES
Descriptions of certicate/degree programs on following page
Certicates/Degrees
marked with an NE
are Not Eligible for
nancial aid.
CERTIFICATES & DEGREES
Descriptions of certicate/degree programs on following page
Program Type Code
Paramedicine AAS 5600
Pharmacy Technician CC 5700
Physical erapy - Pre AAOT 1380
Physics AAOT 1345
Political Science AAOT 1394
Psychology AAOT 1395
Sociology AAOT 1396
Structural Fire Science AAS 5600
Undeclared Transfer AAOT 1300
Veterinary - Pre AAOT 1360
Wildland Fire Suppression CC 5622
Wildland Fire/Fuels Management AAS 5620
Wildland Fireghter Type II
NE
STCC 7624
World Languages AAOT 1230
Program Type Code
Conservation of Natural
Resources
NE
STCC 7383
Forest Ecology
NE
STCC 7384
Forest Measurements
NE
STCC 7385
Forest Protection
NE
STCC 7386
Mapping/Cartography
NE
STCC 7387
General Studies AGS AGS
General Transfer AS 1835
Geographic Information Systems
(GIS)
AAS 5400
Geographic Information Systems
(GIS)
CC 5402
Geography AAOT 1397
Geology AAOT 1344
Health Information Technology AAS 5420
Coding Competency CC 5425
Insurance
NE
CC 5428
Medical Oce Specialist CC 5123
Medical Billing Specialist CC 5426
Health Promotion/Public Health AAOT 1295
Health/Wellness Coaching AAOT 1290
History AAOT 1393
Hospitality Management AAS 5430
Hospitality Management CC 5432
Human Services AAOT 1050
Humanities AAOT 1280
Law - Pre AAOT 1350
Liberal Arts/Liberal Studies AAOT 1205
Manufacturing Technology AAS 5480
CNC Machining CC 5485
Industrial Maintenance CC 5489
Manual Machining CC 5486
Manufacturing Technology I CC 5484
Manufacturing Technology II CC 5488
Quality Assurance CC 5490
Welding CC 5487
Massage erapy AAS 5500
Massage erapy I CC 5502
Mathematics AAOT 1310
Medical Assisting CC 5520
Medicine - Pre AAOT 1360
Music AAOT 1212
Natural Resources AS 1840
Nursing (Transfer) AAOT
1320
Nursing Assistant CC 5543
Practical Nursing CC 5545
Outdoor Leadership AAOT 1272
Outdoor Leadership AS 1273
If you have any questions about the admissions
process, please dont hesitate to contact
Admissions & Records by phone or email:
(541) 383-7500 welcome@cocc.edu
• Approximatelyoneweekaersubmittingyourapplicationyouwillreceivealetterfrom
Admissions & Records with your Student ID Number and COCC email account. Please access
these accounts to receive important information.
• Visitwww.cocc.eduorcallAdmissions&RecordswithyourStudentIDNumberavailableto
schedule your:
•PlacementTests
•NewStudentAdvising&RegistrationSession
• IfyouwouldliketoapplyfornancialaidyoumustcompletetheFreeApplicationforFederal
Student Aid (FAFSA) at www.fafsa.ed.gov. COCC’s reporting code is 003188.
• Transcriptsfrompreviousinstitutionsmaybesentto:
Central Oregon Community College
Admissions and Records
2600 NW College Way
Bend, OR 97703
IMPORTANT NEXT STEPS
STCC & CC
Short-Term Certicates and
Certicates of Completion
Short-term (less than one year), one year, and two year
Certicates of Completion provide hands-on training
in a variety of technical areas, with the goal of giving
students the skills needed for various technical jobs.
Many certicates of completion allow students to stop at a
variety of points, gain employment in the eld and return
at a later date for more advanced training.
AAS
Associate of Applied Science
e Associate of Applied Science degree trains students
in specic technical areas to prepare for immediate
employment upon graduation. e AAS degree provides
students with the hands-on technical skills needed for
employment or certication/licensure in a variety of
career areas. Students should note that the AAS degree is
generally a two-year degree option for full-time students.
Please Note - Not all certicates and degrees are eligible for nancial aid.
AS
Associate of Science
e Associate of Science degree is designed as a transfer
degree for students who want to transfer to a specic
four-year college or university in a specic major. e
student and advisor work closely together to tailor the
courses to meet the transfer institutions lower division
general education and major requirements.
AAOT
Associate of Arts Oregon Transfer
Most students who intend to transfer will nd that the
Associate of Arts Oregon Transfer degree suits their
needs as it is intended to meet the lower-division general
education requirements for all Oregon public universities
and some private colleges. e AAOT allows students to
transfer with junior standing for registration purposes.
CERTIFICATE & DEGREE DESCRIPTIONS
PAYMENT INFORMATION: All new students taking credit classes must submit a one-time $25 non-refundable application fee at
the time of application (note: if you have ever taken a credit class at COCC, you do not have to pay this fee). If paying by check, attach
a check to this application. If paying by credit card, complete information below (note: all credit card information will be destroyed
aer payment is processed). If paying by cash, submit application in person.
Complete all sections and submit
to: Admissions & Records Oce
2600 NW College Way
Bend, OR 97703-5933
Questions? E-mail us at
welcome@cocc.edu or
call (541) 383-7500
Student Name:
☐ Visa ☐ MasterCard ☐ Discover
___________________________________________________________________________
Name on Credit Card:
Credit Card Number:
_________________________________________
_________________________________________ Expiration Date: ____________________
Signature of Credit Card:_________________________________________ CVC:_____________ Zip: ____________