Adult & Continuing Education - Ohio Dominican University

Thank you for applying to Ohio Dominican University! You are just minutes away from officially starting your journey toward completing your degree. If you have any questions, please don’t hesitate to contact ODU’s Office of Admission at 614-251-4500 or admission@ohiodominican.edu

Personal Information

First/Given Name *

Middle Name

Last/Surname *

Maiden Name

Preferred First Name

U.S. Citizen*

Yes

Gender *

Date of Birth *

SSN

U.S. Mailing Address *

City *

State *

Zip Code *

Military Benefits *

Mobile Phone *

Email *

Enrollment Information

Applying As *

New Student Readmit Student

Select Non-degree Seeking if you wish to apply for a Certificate or PMP program.

Degree Status *

Degree Seeking Non-degree Seeking

Intended Start Term *

Campus Location *

Attendance Plan *

Are you planning on utilizing financial aid?

Are you utilizing employer tuition reimbursement?

Education Information

Please add all colleges and universities attended.

School *

High School College or University

Employment Information

Employer Name *

Position

Start Date *

End Date

Currently employed here

Address

Country

City

State

Zip Code

Background Information (optional)

Ohio Dominican University believes in equal opportunity and does not discriminate against any applicant on the basis of race, color, sex, ancestry, national origin, age, veteran status, sexual orientation, or religion, or against any otherwise qualified individual with disabilities in the administration of its admissions policies. The applicant is not required to answer these questions and refusal to answer will not affect admission. This information is collected and used for administrative and reporting purposes only.

Ethnicity

Race

Religious Preference

Native Language

How did you hear about ODU?

Felony Information

Please do not check the box if applicant was convicted of a felony as a Youthful Offender, Juvenile Delinquent, or Juvenile Offender or has otherwise had his/her records sealed.

Have you ever been convicted of a felony? *

Yes No

Statement of Verification

I certify this information is true and complete to the best of my knowledge. Falsification of information on this application could jeopardize acceptance and enrollment. I authorize any institutions I have previously attended to release personal and academic information to Ohio Dominican University. Further, I agree that any college grades may be used for statistical studies or for evaluation purposes.

Check this box to serve as your application signature.