Western Oklahoma State College: Scholarship Application
WOSC Scholarship Application
First Name
Last Name
Student's SSN
Personal Email address
Parent
Spouse
Parent or Spouse's name
Phone Number of Applicant
Mailing Address
City
State
Zip
How many years have you lived in the community?
Birthdate
January
February
March
April
May
June
July
August
September
October
November
December
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2010
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1925
High School Name
HS Graduation Month
HS Graduation Year
A C T Score
Grade Point Average for High School
Grade Point Average for College
In what field(s) of study interest you?
Family Income above $25,000?
How many people are in your family?
Are you employed?
Employer, if any:
Race
Caucasian
African American
Asian American
Native American
Other
Perfer Not to Say
Ethnicity
Hispanic
Non-Hispanic
Sex
Male
Female
Perfer Not to Say
I CERTIFY that I am a legal Resident of ...
Alabama
Alaska
Arizona
Arkansas
American Samoa
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Trust Territories
Utah
Vermont
Virginia
Virgin Islands
Washington
West Virginia
Wisconsin
Wyoming
Please list two personal references
Name
Phone
Name
Phone
Please list any Colleges attended, if any
List any further information that might be helpful in determining you eligibility for scholarship consideration