OTC Application for Admissions

417-447-7500 | e-mail

Application for Admissions
red asterickindicates required
Applicant Information
Social Security Number (must be your valid social)
Confirm Social Security Number
Date of Birth
Legal Sex Male     Female
First Name
Middle Initial I do not have a middle name
Last Name
Previous First Name
Previous Middle Initial
Previous Last Name
Street Address  
Apt. #
City, State, Zip
School district in which you reside:
Primary Phone Number
(May be used to leave private messages regarding your status at OTC)
( )   (xxx) xxx-xxxx
Have you lived at your current residence for at least one year? Yes   No
How many months have you lived at your current residence? Months
Previous Address:
Apt. #
City, State, Zip
Personal E-mail Address
(May be used to notify you of admissions information)
Note: A previous felony conviction or disciplinary action does not necessarily prohibit admission to OTC but does require review.
Do you have any felony criminal charges pending against you; or have you ever been convicted of, entered a plea of "guilty", "no contest", or "nolo contendere" to any felony or sexual offense; or are you required to register as a sex offender?
Yes   No
If you answered Yes to the question above, provide the following information for each crime: 1) crime for which you were convicted or have charges pending, 2) the location and year the act was committed.
Have you ever been suspended/dismissed from another college or university for disciplinary reasons? Yes   No
If you answered Yes to the question above, provide an explanation including violation(s), disposition(s) and date(s):
Emergency Contact Information:
First Name
Last Name
Phone Number ( )   (xxx) xxx-xxxx
Is your parent or guardian a legal resident? Yes     No
Is English your first language? Yes     No
Are you a U.S. Citizen? Yes     No
If no, do you have permanent resident (green card) status in the U.S.? Yes     No
Enrollment Information
Year and term you intend to enroll
Fall (August)
Spring (January)
Summer (June)
Are you currently a high school student? Yes     No
I am planning to attend After high school graduation

First-Time Freshman
Re-Admit (previously attended OTC)
Transfer Student (previously attended another college)
Visiting Student (enrolled at another college or taking classes for personal enrichment, non-degree seeking, not eligible for financial aid)

I am planning to attend After high school graduation

First-Time Freshman

While in high school
These programs are not eligible for financial aid
Career Center (half-day technical education program, Springfield campus only, for high school juniors or seniors attending: Ash Grove, Bolivar, Clever, Everton, Fair Grove, Fordland, Marion C. Early, Nixa, Pleasant Hope, Republic, Logan-Rogersville, Seymour, Sparta, Springfield, Strafford, Walnut Grove, or Willard)
Dual Credit (taking OTC classes at my high school or online through my high school)
Early Start (current high school, home school, or GED student enrolling in OTC credit classes, not eligible for financial aid)
FAST-Track (high school students from Hollister, Ozark or Laquey who are taking college classes while still in high school)
Middle College (selective, full day high school/college program, must be a student of: Everton, Logan-Rogersville, Republic, Sparta, or Springfield public schools)
Campus Location (planned primary attendance) Springfield
Richwood Valley
Table Rock
Fort Leonard Wood
High School Dual Credit
Enrollment Plan Full-time    Part-time
Academic Information
Please list high school education or GED completed. Include colleges (if any) through which you received credit while attending high school. List all colleges where you have been enrolled, including OTC, even if you did not complete a full term.
High School / Home School / GED Information:  
Did you or will you graduate from high school or home school? Yes     No
School Name or Home School
If you selected Other, please select your high school
If you select Other Missouri High School, please provide the high school
Years Attended Start Year  Graduation Year
Did you or will you complete a GED? Yes      No
Please provide the GED graduation year (ex., 1999)
In what state did you complete your GED?
Have you submitted a financial aid form? (FAFSA) Yes     No
Are you participating in or have you completed the A+ Program at your high school within the last 48 months? Yes     No
If yes, have you used A+ eligibility at another college? Yes     No
Have you ever served in the United States Armed Forces? Yes     No
Are you a dependent/spouse of someone who has served or is serving in the United States Armed Forces? Yes     No
Do you plan to use GI Bill/VA benefits at OTC? Yes     No
College or University Information:  
College/University Name
If you selected Other, please select your college or university
Years Attended From to
Degree/Hours Earned
College/University Name
If you selected Other, please select your college or university
Years Attended From to
Degree/Hours Earned
College/University Name
If you selected Other, please select your college or university
Years Attended From to
Degree/Hours Earned
Program of Study
Check the box next to your intended program of study: (Please select one)
General Education Programs: Associate of Arts
Associate of Arts in Behavioral Science
Associate of Arts in Business
Associate of Arts in Criminal Justice
Associate of Arts in English
Associate of Arts in Social Work
Associate of Arts in Teaching
Associate of Science
Are you interested in an area of emphasis? Yes     No
If yes, please select only one:
Please select only one:
Allied Health Programs:
Admission to the college does not guarantee acceptance into Allied Health selective admission programs. Students who select an Allied Health program denoted with an * will be considered Biological Clinical Science degree seeking until accepted into a program.
Program of Study
Technical Education Programs:
Program of Study
Associate of Interdepartmental Studies (A.IS) Yes
Non-Degree Seeking: (A student enrolled for credit coursework who does not plan to receive a degree or certificate. These students are not eligible for financial aid.) Yes
I would like help deciding on a Program of Study Yes
Additional Information
After attending OTC do you plan to transfer to a four year institution to continue your education? Yes   No   Unsure
If yes, which institution do you plan to attend? (Your directory information may be shared.)
If you selected Other, please indicate where you plan to attend?
How did you hear about OTC? (please check all that apply) College catalog
College fair
College representative
Course schedule
High school visit
Personal contact
Have either of your parents or guardians earned a bachelor's degree? Yes     No
What is your Education Objective?
Are you currently employed? Yes     No
Do you plan on working while attending OTC? Yes     No
If yes, how many hours a week do you plan to work?
What factors influenced your decision to attend OTC? (please check all that apply) A+ eligibility
Cost of attendance
College reputation
Availability of online classes
Ability of career and technical programs
Small class sizes
Funded Program Information (please check all that apply) Single Parent
(Unmarried or separated and has custody of a minor child or is pregnant)
Nontraditional career seeker
(Students seeking occupations typically chosen by the opposite gender)
Displaced homemaker
(Individuals whose primary vocation has been homemaking but now must seek paid employment due to separation, divorce, or death of spouse)
None of the above
The following is requested for purposes of federal and state compliance reporting and is not used to determine admission status.

Are you Hispanic or Latino? Yes     No

Please check all that apply:
American Indian or Alaska Native
Black or African American
Native Hawaiian or Other Pacific Islander
Tuberculosis Screening (TB)
Were you born in, or during the past five years have you lived in any of the countries listed? Click here for the list of Countries Yes     No

Have you had frequent or prolonged visits to one or more of the countries listed? Click here for the list of Countries Yes     No

Are any of the following statements true? Yes     No
  • You have been in close contact with a person known or suspected to have active tuberculosis disease (TB).
  • You have worked in a high-risk congregate setting (e.g., a correctional facility, a long-term care facility, a homeless shelter, etc.).
  • You have worked as a health-care worker serving clients who are at increased risk for active tuberculosis.
  • You are or have abused drugs or alcohol.
  • You have a medical condition that weakens the immune system (e.g., HIV).
  • You are or have been experiencing symptoms of tuberculosis (e.g., fever, night sweats, cough, and weight loss).
Disability and Non-Discrimination Information
If you require an accommodation due to a disability under the Americans with Disabilities Act, please contact OTC’s Disability Support Services office prior to the beginning of the semester.

Ozarks Technical Community College prohibits discrimination and harassment and provides equal opportunities in its admissions, educational programs, activities, and employment regardless of race, ethnicity, religion, gender, national origin, age marital status, sexual orientation, political affiliation, veteran status, and disabilities.
Upon admission to Ozarks Technical Community College (OTC), I agree to abide by the Student Code of Conduct and all rules and regulations of OTC. I hereby certify that to the best of my knowledge the preceding information is true.
  • I understand that the deliberate falsification and/or omission of information pertaining to the application may result in immediate dismissal and full loss of credits.
  • Random and periodic residency verifications will be conducted, which will require those who are selected to complete a Residency Affidavit Form and submit a minimum of two items to prove residency at the home address on file with the Admissions Office.
  • Students visiting from another college or planning to transfer accept the responsibility for verifying the acceptability and/or degree applicability for OTC credit at the other institution.
  • Email is considered the primary method for communication at OTC. Email communications are intended to meet the academic and administrative needs of the campus community. The College has the right and expectation that such communications will be received and read in a timely fashion. To enable this process, the College ensures that all students can be accessed through a standardized, college issued email account throughout their academic time at OTC.
  • I consent for the electronic delivery of IRS forms, student account billings, collection notices and direct deposit of refunds.
  • Use of tobacco at any OTC campus or education center is prohibited.
I agree to abide by the statements on the OTC application and I certify the information I have provided on this admissions application is correct to the best of my knowledge.