APPLICATION FOR ADMISSION
500 Oxford Dr., Crystal Springs (Dayton), TN 37321-6736
(423) 775-6596 FAX (423) 775-6599 (800) 933-6188 USA and Canada
Email: admissions@ogs.edu

Application for Admission Instructions:
Please complete the following form entirely. We suggest that you print a copy before you click "Continue" to preserve a copy of your work.

Contact Information:

First Name (Given Name):

Middle Name:

Last Name (Surname):

E-mail Address:
IMPORTANT NOTE:
If you do not enter a valid e-mail address,
we will not have record of your online
application for admission. A valid
e-mail address is required to process
your application.

Social Security Number or National Identification Number:

Date of Birth (mm/dd/yyyy):

Country of Citizenship:

Anticipated Start Date of Program (mm/dd/yyyy):

Telephone (H):

Telephone (W):

Address 1:

Address 2:

City:

State:

ZIP/Postal Code:

Country:

Personal Details (OPTIONAL):

Marital Status:

Military Service: Dates of Service:
Active Reserve:

Degree you are seeking

Degree:

Your Academic History

Please list your academic history, starting with your high school (secondary education) as #1. List any community colleges, bible institutes, universities, and seminaries that you have attended.

(Please Note: Copies of transcripts, as applicable, need to be enclosed with application or sent for by the student. Student held transcripts are acceptable for evaluations, but official transcripts sent directly from former institutions are required for full admission.)

Institution Location Major/
Concentration Degree/Award Graduation Date

1. N/A
2.
3.
4.
5.
6.

Please list any additional academic achievements, awards, etc. in the area below:

This information is requested for the purpose of reporting to the Federal Compliance Agencies only and will not be used in determining admission status. Completion is voluntary.

Place of Birth:
Date of Birth:

Sex:

Select your ethnic origin:

References
Please list the names, addresses, and phone numbers of at least three (3) references. One must be from your local church. The other two can be from your workplace or friends.
Reference 1:
Name:
Position:
Organization:
City, State:
Telephone:
Email:

Reference 2:
Name:
Position:
Organization:
City, State:
Telephone:
Email:

Reference 2:
Name:
Position:
Organization:
City, State:
Telephone:
Email:
Authorization

I give Oxford Graduate School permission to contact any refernces listed above.
I understand that Oxford Graduate School does not discriminate on the basis of race, sex, color, creed, national origin, age, handicap, or veteran status in the provision of educational opportunities or employment opportunities or benefits.
I understand that Oxford Graduate School does not discriminate on the basis of sex or handicap in the education programs and activities which it operates, pursuant to the requirements of Title IX of the Education Amendments of 1972, Pub. L. 92-318; and Section 504 of the Rehabilitation Act of 1973, Pub. L. 93-112; respectively. This policy extends to both employment by and admission to the school.

Your Initials:

Your initials above serve as your electronic signature, verifying that all information provided on this application is true.

Click the "Complete Application" button below to complete the application.