Screen Reader Mode Icon

ECCP Application for Admission:

Students, parents/guardians/foster parents and districts: read and follow the directions below to ensure all processes are completed properly.
STUDENT/PARENT/GUARDIAN The student has responsibility for:
• submitting this form, completed with all required signatures, to the district by the designated due date,
• obtaining the admissions and registration information for the Lac Courte Oreilles Ojibwe University,
• completing the college admissions and registration processes, and
• informing his or her district of the courses in which he or she enrolls.
STUDENT SPECIFIC RESPONSIBILITIES
1. Complete one form for each term you wish to enroll at LCOOU.
2. Review the following Early College Credit Program information: When signing this form, the student and parent/guardian assures understanding of and/or compliance with the following conditions: a. Student shall comply with admission criteria for college course(s) taken under the Early College Credit Program. b. Student/Parent/Guardian may be required to reimburse the school district for tuition, fees, book, and material costs if the student fails or fails to complete a course.
3. In Section I, sign and date (if student is under 18, parent/guardian must also sign and date).
4. Submit this form (with all sections completed) by the designated due date to the School District in which the student is enrolled. This is typically done by submitting the form to a school counselor or Early College Credit Program Coordinator.
5. Upon notification from district of the course(s) that have been approved, complete the application process for LCOOU at which the Early College Credit Program course(s) was/were approved and work with LCOOU personnel as well as a high school counselor to enroll in appropriate course(s).
6. Follow the application and registration requirements and deadlines at LCOOU.
7. Submit all required documentation (i.e., high school transcripts, tribal verification if applicable, along with any prerequisite documentation).
8. Notify the district of the course(s) in which the student has enrolled.
9. If you have a documented disability and need accommodations, contact LCOOU for additional information and assistance.
10. LCOOU may require a parent/guardian signature on a form regarding the safety of minors on campus. If needed, the form will be provided to the student.
SCHOOL DISTRICT RESPONSIBILITIES
1. After receiving the Early College Credit Program and High School Special Agreement Form, review the form and necessary supporting documents to verify student eligibility.
2. School District representative takes formal action on course request (approval/denial).
3. Notify the student, in writing, of the district’s decision (approval or denial). Regardless of how the notification is completed, both the student and the district should receive/maintain a copy of the completed and signed application.
4. Indicate with a check mark the approved courses in the “District Approval” column.
5. Send the completed and signed Early College Credit Program and High School Special Agreement Form to the university.

Question Title

1. First Name:

Question Title

2. Middle Name:

Question Title

3. Last Name:

Question Title

4. Suffix (Jr, Sr, III, etc..)

Question Title

5. Preferred Name:

Question Title

6. Birth/Maiden Name:

Question Title

7. Date of Birth:

Date

Question Title

8. Gender:

Question Title

9. Marital Status

Question Title

10. Why do I need to provide my Social Security Number?
Students applying for Federal Financial Aid (FAFSA) are required to provide their social security number to be eligible for aid.


Social Security Number

Question Title

11. Ethnicity

Question Title

12. What is your primary race and ethnicity

Question Title

13. Tribal Affiliation (If Applicable)

Question Title

14. If applicable, all applicants who identify as a Federally Recognized American Indian must submit a copy of their CDIB and/or Tribal ID.  Please upload document here.  If not applicable, please move on to the next question.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File

Question Title

15. Citizenship

Question Title

16. Mailing Address

Question Title

17. Are you an Individual with disabilities?

Question Title

18. Lac Courte Oreilles Ojibwe University Enrollment Information:

Anticipated Academic Enrollment Year

Question Title

19. At which location or site will you be taking your courses?

Question Title

20. What degree will you be seeking at LCOOU?

Question Title

21. Program of Interest
*Disclaimer: If you are undecided on a program of study, please select Liberal Arts.

Question Title

22. What best describes you?

Question Title

23. High School City and State

Question Title

24. High School Graduation or GED/HSED completion date

Question Title

25. LCOOU requires a copy of Official High School Transcripts/HSED/GED completion to be submitted in order to be officially accepted. Please load documents here, this is a required question that must be completed to submit application.
Please contact your High School Records Department and/or DPI for official records. If you are in the process of requesting those documents, please upload a word document stating status. Please note deadlines on LCOOU Academic Calendar.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File

Question Title

26. Audio and Visual Release Statement
(Please review and check yes or no)
  • I give permission to Lac Courte Oreilles Ojibwe University (LCOOU) to use my name, portrait, picture, video or audio equivalent for the purposes of use on the internet, publication, viewing, display, sound or training purposes.
  • I agree all such material shall remain property of LCOOU.
  • I also understand that the material will be used in good taste and without discrimination.

Question Title

27. FERPA Consent
Directory Information: Under the Family Education Rights and Privacy Act of 1974 (FERPA), you may restrict the release of your directory information. The following items are considered directory information available to the public: name, address, telephone number, date of birth, dates of attendance, degrees and awards received, sex, marital status, major field of study, participation in officially recognized activities and sports, most recent previous educational agency or institution attended, parent/spouse/guardian name and address. Photographs of students on campus or engaged in school-related activities may be used by the Lac Courte Oreilles Ojibwe University without prior consent for not-for-profit promotional materials that support the work of or provide information about the University. No other information will be released to a third party, except as provided by law, without your prior written consent. If you wish to restrict the release of the directory information items above, you must file a signed statement to that effect with the Registrar's Office within two weeks after the first day of class for any given term.

Question Title

28. I declare that the information provided by me on this form is true, correct and complete to the best of my knowledge. I agree that the above information may be shared with LCOOU personnel, Bureau of Indian Affairs, my tribe, and state/federal/tribal programs. This information may include a copy of my grade transcripts. I further agree that the LCOOU Business Office may endorse and deposit all financial aid checks issued and apply payment to my account. Any remaining amount would be refunded to me. I agree to report any outside scholarships received and other funding sources to the LCOOU Financial Aid Office. I further agree to notify, in writing, Student Services if there is a change to any of this information, including permanent or mailing address.

Question Title

29. Electronic Signature (please insert signature below).

0 of 29 answered
 

T