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Endowment Application

* = required field
Endowment Form

Personal Information:
Applicant's Full Legal Name: *    *
Social Security Number: *                       Date of Birth: * * *

Address: * City: * State: * ZIP: *
County: * Country: *
Phone: * Email: *

General Information:
College Status: * GPA: * ACT Composite: * Major: *
How many hours do you plan to take in the fall? *
What campus do you plan to attend for on-campus classes? *
Have you previously earned a bachelor’s degree? *
Are you planning to complete a current year Free Application for Federal Student Aid (FAFSA)? *
Are you a U.S. Citizen? * Are you a resident of Oklahoma? *
Marital Status: * Number of Children:   
High School Attended:    City of High School:   
Year of Graduation:    High School GPA:   
Did you receive a high school diploma or GED? *
Are you a registered member of a Native American Tribe? * If yes, what tribe?   
Are you a veteran? * If yes, which chapter?   
Are you a descendent of an OMA Alumni? *
Are you a member of Leadership Rogers County? *
Are you a member of the Rogers County Cherokee Association? *
Are you an employee of and/or affiliated with an employee of Mid America Industrial Park? *
Are you or your family member an employee of HydroHoist Marine Group, INC. of Claremore, OK? *
Are you a graduate of the Lowe Family Young Scholars Program? *
List all extracurricular and community activities:
Hours of community service per semester:   
Write a statement of your college and vocational goals:
Additional Information that you believe is relevant to your qualification: