Western Oklahoma State College: Scholarship Application
WOSC Scholarship Application
First Name
Last Name
Student's SSN
Email Address
Parent
Spouse
Parent or Spouse's name
Student Phone
Student 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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1
2
3
4
5
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11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
-
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
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?
If so, where?
How many hours do you work per week?
Sex and Race requested for reporting purposes only. It is optional information and does not affect eligibility consideration.
Race
Spanish American
Black/African American
Native American/Alaskan Native
Asian/Pacific Islander
White/Caucasian
Other/Multiple
Ethnicity
Hispanic
Non-Hispanic
Sex
Male
Female
I Certify that I am a legal resident of the state of Oklahoma
I Certify that I am NOT a resident of Oklahoma
State of legal Residency if not Oklahoma
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
