Request an Appointment

Year wish to begin taking classes

Semester wish to begin taking classes

Fall

Spring

Summer

Current Status

New, never have taken a class at COD

Current, if you are enrolled in the current term.

Returning, if took classes in the past but are not currently enrolled the current term.

Have you applied to COD

Yes

No

High School Graduation Year

Ethnicity

Native American/Alaskan Native

Hispanic

Black/Non-Hispanic

Caucasian/Non-Hispanic

Asian/Pacific Islander

Other

Choose Not to Indicate

First Name*

Last Name*

Phone*

Email*

High School

Are you the first in your family to attend college

Yes

No

Did your parents attend college in the USA

Yes

No

How long have you lived in the USA

Less then 1 year

1 to 3 Years

4 Plus Years

Born in the USA

Contact Information