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MESA Application - Olympic College
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* Indicates required question
Name
*
Your answer
Preferred Name
*
Your answer
Pronouns - please check all that apply
*
He/him
She/her
They/them
None of the above
Prefer not to answer
Other:
Required
Olympic College Email address
*
Your answer
Preferred Email (if different from OC Email)
Your answer
Olympic College Student Number (SID)
*
Your answer
Permanent Address
*
Your answer
Current Address or Mailing Address (if different from Permanent Address above)
Your answer
City
*
Your answer
State
*
Your answer
Zipcode
*
Your answer
Phone number
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Ethnicity
*
American Indian or Alaskan Native
Asian
Black or African American
Latinx/Hispanic
Native Hawaiian or Pacific Islander
White
Multi-Race (if selected, please indicate all that apply)
Required
If you are American Indian or Alaskan Native, what is your Tribal Affiliation?
Your answer
Is a language other than English spoken regularly in your home?
*
Yes
No
If a language other than English is spoken regularly in your home, please specify.
Your answer
When did you first enroll at Olympic College (Quarter, 20##)
*
Your answer
Who is your college advisor or counselor?
*
Your answer
What is the total number of college credits you have completed?
*
Your answer
Current GPA?
*
Your answer
Which degree track are you currently on?
*
Associate in Science-T - Track 1 - Biology, Chemistry, Environmental Science, Geology, Earth Sciences
Associate in Science-T - Track 2 - Mechanical, Civil, Aeronautical, Industrial, Materials Science Engineering
Associate in Science-T - Track 2 - Computer and Electrical Engineering
Associate in Science-T - Track 2 - BioEngineering and Chemical Engineering
Associate in Science-T - Track 2 - Physics, Computer Science, Engineering, Atmospheric Sciences
Associate in Arts - Direct Transfer Agreement (DTA)
Associate in Computer Science - Direct Transfer Agreement
What is your first choice of major?
*
Your answer
What is your second choice of major?
Your answer
What is the highest level of math you have passed?
*
Your answer
Do you have a previous bachelors degree?
*
Yes
No
What courses are you currently enrolled in? Please include the course number. I.e. MATH& 141
Your answer
List at least 3 colleges you are interested in transferring to. (If it is a branch campus, please indicate this. eg. WSU Bremerton)
*
Your answer
When do you intend to transfer (quarter, year)?
*
Your answer
Are you a current Running Start student?
*
Yes
No
What high school did you or do you attend (please include dates)? I.e. Mt. Rainer High School 2010-2014
*
Your answer
If you have attended any other colleges, list them here (please include dates). I.e. South Seattle College 2014-2015
Your answer
Please check all of the obstacles that may interfere with your education.
*
Financial need
Employment issues
Family obligations
Knowledge of educational system
Transportation or travel distance
Exceptional needs (specify below in other):
None of these are obstacles for me.
Other:
Required
Are you employed?
*
Yes
No
If you are employed, how many hours per week do you work?
Your answer
What is the highest level of education achieved by your mother or guardian 1?
*
No school/elementary school
Some high school
High school graduate
Some college/university
Community college degree
4-year college degree
Professional degree (law, medical, etc.)
MS/MA/MBA/PhD
Other:
What is the highest level of education achieved by your father or guardian 2?
*
No school/elementary school
Some high school
High school graduate
Some college/university
Community college degree
4-year college degree
Professional degree (law, medical, etc.)
MS/MA/MBA/PhD
Other:
What type of work has your mother or guardian 1 typically done over the past years or prior to retiring?
*
Never Employed
Farm Worker/Agricultural Worker
Business Administration
Retail/Sales/Clerical
Mechanic or Machinist
Professional – (Doctor, Lawyer, Other Professional)
Factory Worker
General Laborer
Teacher/Professor/Educator
Skilled technician – Medical, Educational, Trades
Engineer/Computer Scientist/Scientist
Don't Know
Other:
What type of work has your father or guardian 2 typically done over the past years or prior to retiring?
*
Never Employed
Farm Worker/Agricultural Worker
Business Administration
Retail/Sales/Clerical
Mechanic or Machinist
Professional – (Doctor, Lawyer, Other Professional)
Factory Worker
General Laborer
Teacher/Professor/Educator
Skilled technician – Medical, Educational, Trades
Engineer/Computer Scientist/Scientist
Don't Know
Other:
Is there anything you would like us to know?
Your answer
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