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

RESUME OF HIGH SCHOOL ACTIVITIES
Copy and paste your resume detailing your high school activities

PROFESSIONAL REFERENCES

Please list contact information for three professional references below

Name

Company/Organization Title

E-mail Phone

---

Name

Company/Organization Title

E-mail Phone

---

Name

Company/Organization Title

E-mail Phone

---

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

ESSAY

Copy and paste your 250-word essay regarding why you would like to be a part of the Oxford Plan below

DISCLAIMER AND SIGNATURE

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