Bridge Program: Application for Dual Admission

(For best results, please fill out this form using the Google Chrome Browser.)

Along with the submission of this application, you must provide the NWOSU-Alva Registrar's Office with official transcripts from ALL schools previously attended. If transferring with fewer than 24 credit hours, a high school transcript and ACT or SAT scores are also required.

All Bridge Program students transferring from NOC also must complete the Transfer Scholarship Application by July 15 and provide verification of your cumulative grade point average for best consideration.

Students can be admitted to the program at any time prior to receiving an associate's degree and should meet either the freshman or transfer admission criteria of Northwestern depending on number of hours of college credit completed at the time of application. Course enrollment and programs and services for dual students are available based on the semester calendar.

Transcripts may be sent to:

electronically: tlwarren@nwosu.edu or sklahr@nwosu.edu (note: electronic transcripts cannot be forwarded by students; they must come directly from the issuing institution)
mail: Registrar's Office, NWOSU, 709 Oklahoma Blvd., Alva, OK 73717

Personal Information

Student's Full Legal Name (include first, middle and last name) *

Social Security Number *

When do you plan to enter NWOSU? *

Of what year? *

Previous Name(s) Used *

Date of Birth *

Permanent Street Address *

City *

State *

Zip Code *

County (from Oklahoma Only) *

Current Street Address (if different from permanent)

Current City

Current State

Current Zip Code

Sex * Male Female

Phone Number (most used number) *

E-Mail Address (you will receive a receipt from this submission at this email address) *

Are you a U.S. Citizen? *

If not, list country of citizenship.

Do you have a Permanent Resident card? *

If U.S. Citizen, list home (resident) state *

How long have you been a permanent resident of your home state? Provide years/months. *

Are you on full-time active military duty? (Includes spouses and dependent children) *

Have you taken the ACT *

SAT Test? *

If yes, when? (Please provide dates for both ACT and SAT here)

Are you a high school graduate? *

If no, have you completed your GED?

If yes, when?

In the area below, state the name of the last high school you attended/graduated from, its city, state and phone number, and your date of graduation from that high school: *

Ethnicity/Race. Any information regarding race or ethnicity will be used in a non-discriminatory manner, consistent with applicable civil rights laws *

If American Indian state below the name of your native tribe, and whether the family line of your tribe is on the mother's side, father's side, or both.

Highest Degree you have earned *

Does one of your parents hold at least a bachelor's degree? *

Parent or Guardian Info

Full Name of Parent/Guardian *

Phone Number *

Street Address *

City *

State *

Zip Code *

Transfer Student Section: Along with this application, transfer students must submit official transcripts from ALL schools previously attended. If transferring with fewer than 24 credit hours, a high school transcript and ACT or SAT scores are also required

Approximate number of semester hours completed:

Are you eligible to re-enter the last college you attended? Yes No

In the area below, list the name of any previous colleges you have attended, its city and state, your dates of attendance and graduation, as well as the degree you received, if any. Failure to list ALL institutions previously attended may result in loss of credit or dismissal.) *

Date and Electronic Signature

Today's Date *

Terms & Conditions

I hereby state under penalty of perjury under the laws of Oklahoma that the facts stated on this application for admission are true and complete to the best of my knowledge. I understand that I must provide the Registrars at Northern Oklahoma College and Northwestern Oklahoma State University with official transcripts from ALL schools attended (high school transcripts must have date of graduation, class rank, and GPA listed). I understand that I may be ineligible for admission to, or continuation at Northern and Northwestern for withholding or falsifying records or information concerning my enrollment in other schools. I understand that all credentials submitted in support of this application become the property of NWOSU and NOC and will be shared between the institutions.

Check this box as your electronic signature.

AFFIRMATIVE ACTION COMPLIANCE STATEMENT
This institution, in compliance with Title VI and Title VII of the Civil Rights Act of 1964, Title IX of the Education Amendments of 1972, sections 503 and 504 of the Rehabilitation Act of 1973, the Americans With Disabilities Act of 1990, and other federal laws and regulations, does not discriminate on the basis of race, color, national origin, sex, age, religion, physical or mental disability, or status as a veteran in any of its policies, practices, or procedures. This includes, but is not limited to, admissions, employment, financial aid, and educational services. Inquiries concerning the application of these programs should be made to the Dean of Student Affairs and Enrollment Management, Northwestern Oklahoma State University, 709 Oklahoma Boulevard, Alva, OK 73717, (580) 327-8415.