APPLICANT INFORMATION

Full Name

Address (Line 1)

Address (Line 2)

City State Zip

Phone Cell Phone

E-mail

Intended College Major

Have you applied for admission at OCU? Yes No
If yes, have you been admitted? Yes No

HIGH SCHOOL INFORMATION

High School

Address

City State Zip

From To

Class Rank Out of

GPA ACT

PARENT INFORMATION

Mother's Name Occupation

Father's Name Occupation

EMPLOYMENT INFORMATION (STUDENT)

Are you presently employeed? Yes No
Number of hours worked per week

Employer

Address

City State Zip

RESUME

Copy and paste your resume detailing your leadership, community service and extra-curricular activities below

ESSAY

Copy and paste your 500-word essay below

RECENT PICTURE

We require you send us a recent photo of yourself. Please click here to e-mail us this photo as an attachement. Be sure to include your full name and high school attended in the body of the e-mail.

DISCLAIMER AND SIGNATURE

I certify that my answers are true and complete to the best of my knowledge.