This form is to request information about OHIO's undergraduate programs offered in Athens and online.

My name and background
First Name*
Middle Name
Last Name*
Nickname
I will apply for
I will apply as a
I plan to enroll:
Gender
I am a U.S. Citizen
Ethnic Background - please select one or more races from the following**
American Indian or Alaska Native
Native Hawaiian or Other Pacific Islander
Asian
White
Black or African American
I am Hispanic/Latino**
Yes
No
My contact information
Address*
Address 2
City*
State*
Zip Code*
Country
Phone Number
Phone Type
E-Mail Address*
My high school
State
City
High School
My interests
Send me information when more online programs become available at Ohio University.
My academic interests are
My other interests are
My parent/guardian(s) contact information
First Name
Last Name
Email
First Name
Last Name
Email

*

**

Required field

This information is optional and will not be used for discriminatory purposes.