Scholarship Application

For best consideration, this scholarship form must be completely filled out and signed. Students must meet all OSU-Okmulgee Admissions Requirements to be eligible for this scholarship. Student must have a High School Cumulative GPA of 2.5 or an ACT Cumulative Score of 15 to qualify for this scholarship Good Luck!
Date			Telephone
Applicant's Name
	First	Middle	Last
Social Security Number			Date of Birth
Current Address
	Street	City	State/Zip
High School Attended
	Name of School	City, State, Zip		Graduation Date
Cumulative GPA (4.0 Scale)			ACT Composite Score
Area Technology Center Attended
	Name of School	City, State, Zip		Graduation Date
Name and address of Parent(s) or Legal Guaridan(s)
	Last	First

	Street	City	State/Zip
Work Experience
Honors, Extracurricular Activities, etc ...
References
Desired Work Location	Arnett New Holland Enid New Holland Kiowa New Holland

Download Application
Instructions:
1. Download the application here.
2. Fill out the 2nd page.
3. Sign and Date the application
4. Return completed application to any of our locations