Living & Learning Credit Request

Living & Learning Credit Request
Legal Name*

FirstMiddleLast
Social Security Number*
Date of Birth*
Gender*

MaleFemale
Phone Number*
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
County*
Citizenship Country*
Are you Hispanic or Latino? (optional)

YesNo
Check all that apply. (optional)

American Indian or Alaska NativeAsianBlack or African AmericanNative Hawaiian or Other Pacific IslanderWhite
In which program do you plan to participate?*
Year and Term Attending Living & Learning*
Example: Summer 2024, Fall 2024
Will you be enrolled as a student at a U.S. institution while attending Living & Learning?*
At what institution will you be enrolled?*
Non-degree seeking College of the Ozarks students are reported as full-time college students for student loan deferment, insurance, and enrollment verification purposes. No tuition or fees are paid to College of the Ozarks for this service. Non-degree seeking students are not eligible for financial aid through College of the Ozarks.
Do you need to be enrolled as a non-degree seeking College of the Ozarks student while attending Living & Learning?*
By typing your name below you are giving Living & Learning International permission to send College of the Ozarks your Living & Learning International academic record including course information and final grades. Additionally, you are giving College of the Ozarks permission to transcript your Living & Learning International course as College of the Ozarks college credit and register you as a current student, if applicable, based on the answers to previous questions on this form.
Legal Name*
Should be Empty: