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ELIGIBILITY VERIFICATION FORM
Oregon Tech Online
What is your intended major? If your intended online major is not listed below, you do not need to complete this form.
Allied Health MS
Clinical Sleep Health Certificate
Dental Hygiene BS
Diagnostic Medical Sonography BS
Echocardiography BS
Engineering MS
Health Care Management BS - Clinical
Health Care Management BS - Radiologic Science
Magnetic Resonance Imaging Certificate
Polysomnographic Technology Certificate
Radiologic Science BS
Respiratory Care BS
Sleep Health AAS - Clinical Sleep Health
Sleep Health AAS - Polysomnographic Technology
Technology and Management BAS
Vascular Technology BS
Please provide the following:
Full Legal Name
Email Address
Phone Number
Student ID Number (You may not have one.)
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