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Programs & Courses
Preferred Pathway® with Ohio State
Priority acceptance deadline: March 1
Primary Phone #:
Columbus State Email:
High School Attended:
High School City/State:
Must demonstrate College Readiness through COMPASS placement test or ACT subscores
(ENGL 1100 and MATH 1148/1075)
COMPASS Placement (Course Recommendations)
Do you anticipate college credit through exam(s) for Advanced Placement (AP)?
Do you anticipate college credit through PSEO/Dual Enrollment?
Please select the Ohio State University program area that best describes your intended
area of study.
Information will be used for reporting purposes only.
Are you a first generation college student (neither parent has a 4 year degree?)
Do you have a documented physical or learning disability?
If yes, have you registered with Disability Services (Eibling Hall Room 101, 614-287-2570)
Will you apply for Financial Aid at Columbus State Community College?
Race / Ethnicity
By submitting this application I agree to allow Columbus State Community College to
release my placement score, academic grades, transcript, and contact information to
The Ohio State University as necessary for my participation in the Preferred Pathway
Program. I understand that this release includes personally identifiable information
about me under the Federal Family Educational Rights and Privacy Act, and that I am
not legally obligated to provide this information. I understand that this consent
expires upon completion of my participation in the Preferred Pathway Program, and
that I may revoke this consent in writing at any time to the Columbus State Community
College Office of the Registrar. I give this consent freely and voluntarily and I
understand the consequences of giving this consent.
550 East Spring St., Columbus, OH 43215(614) firstname.lastname@example.org
5100 Cornerstone Dr., Delaware, OH email@example.com
© 2014 Columbus State Community College