University of Science and Arts of Oklahoma: Request Information About USAO

Request Information About USAO

Required Information

First Name
Last Name
Preferred Name
Social Security # (no dashes)
Date of Birth (mm/dd/yy)
Gender	Male Female
Phone Number
E-mail
Address #1
Address #2
City
State
Zip
Graduation Year
Anticipated Enrollment Date
Estimated GPA
ACT/SAT Score
Current High School/College

Optional Information

Race: White Black Hispanic Asian/Pacific Islander American Indian or Alaskan Native Tribe Multiracial

Level of Interest in Attending USAO
Academic Interest 1:
Academic Interest 2:
Academic Interest 3:
Extra-Curricular Interest 1:
Extra-Curricular Interest 2:
Extra-Curricular Interest 3:

© University of Science and Arts of Oklahoma
1727 West Alabama, Chickasha, Oklahoma USA 73018
Phone: Chickasha: (405) 224-3140
Last Updated 21 Feb 2008 10:55 AM