External Student Information Request Form

Ohio University
External Student Program Information Request

First Name:	Last Name:
Street Address 1:
Street Address 2:
City:	State/Province:	Zip/Postal Code:
Country:
Phone:	E-mail Address:
Degree you are seeking:	None Associates BSS Masters
Areas of interest:
How did you hear about OU?
How should we contact you?
When is the best time to contact you?
About the Independent and Distance Learning Programs catalog The catalog you will receive can be used by those who just need a course or two as well as those who are interested in a degree. It contains: a list of all the courses, with full descriptions requirements for earning a degree informat ion about External Student Program fees an application for admission to the External Student Program For more information about these distance-learning options check the Independent and Distance Learning homepage.