Distance Learning Programs Information Request Form

Distance Learning Information Request Form

By completing the information below, you will be sent the External Student Program brochure (with the degree information) and Independent Study Catalog (the distance learning course catalog). If you are not interested in earning a degree from Ohio University, please mark the "Independent Study Catalog Only" box at the bottom of the page.

Privacy Statement: We only use your address to send the the requested information. Once our information is sent, we delete or destroy the address. (We do not have permanent record of an address until you have been admitted to the degree program or enrolled in an Ohio University course.)

First Name:	Last Name:
Street Address:
Street Address:
City:	State/Province:	Zip/Postal Code:
Country:
Independent Study Catalog request. Mark this box if you only want information about our distance courses and are not interested in earning an Ohio University degree through our distance program.
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