COU
online application for admission



Applying to COU online is easy:
Simply fill out and submit the following application.

We will begin reviewing your application as soon as you submit the form below. After you click on the submit button you will see a confirmation on your screen which states that your application has been submitted. We will answer you via e-mail as soon as possible.


Application for Admission


Applying for degree program:


Personal Data

Title:
Last Name:
First Name:
Middle Initial:

Date of Birth (dd/mm/yy):
Sex:

Country of Citizenship:

Birthplace, City:
State/Province: Country:

Address (Number, Street):
Apt.#, P.O. Box or C/O:
City:
State/Province: Country: Zip Code:
E-mail:


Employment Information

Employer Name:
Department/Division:
Position or Job Title:


Education
List all Colleges and Universities you have attended, starting with the most recent.

1. College:
Location:
From (mm/yy): To (mm/yy):
Major: # of Units Completed:
Degree Received:

2. College:
Location:
From (mm/yy): To (mm/yy):
Major: # of Units Completed:
Degree Received:

3. College:
Location:
From (mm/yy): To (mm/yy):
Major: # of Units Completed:
Degree Received:

4. College:
Location:
From (mm/yy): To (mm/yy):
Major: # of Units Completed:
Degree Received:

5. College:
Location:
From (mm/yy): To (mm/yy):
Major: # of Units Completed:
Degree Received:


I certify that to the best of my knowledge the information provided in this application is accurate and complete. I understand that if this information or any other information upon which my admission is based is found to be inaccurate or incomplete, the school may rescind my degree. If admitted, I agree to abide by the rules and regulations of the school including, but not limited to, those contained in the current school web site.

Applicant's Name:


Commonwealth Open University does not discriminate on the basis of race, color, national or ethnic origin, religion, age, sex, disability or prior military service in the administration of its educational policies, admissions, educational programs, or activities.