Fields marked with an asterisk (*) are required.
What name do you go by? For example, your name is William, but you go by "Bill."
Your Contact Information
* Home Address:
Your College Plans and Interests
When did/will you graduate from high school or complete its equivalent?
When do you plan to start college?
When you start college, will you be a first-time freshman, or will you transfer credits from another university?
What are your academic interests?
Outside the classroom, which of these activities are you interested in?
Ozarks' Jones Learning Center offers special services for students with a diagnosed
learning disability and/or AD/HD. This program is available for an additional fee.
I want to learn about the services available through the Jones Learning Center.
To finish your information request, please enter the name of the Ozarks mascot in the box below.
(HINT: Enter EAGLES)