Please take a moment to answer a few questions about yourself. Required Fields in Bold.
Oregon State Graduates that you or your family are acquainted with:
Please list honors/awards that you have received:
Name
Birthdate
Address
Home Phone
Cell Phone
E-mail Address
Mother's Name
Mother's Occupation
Father's Name
Father's Occupation
High School
Graduation Date
High School Core GPA
SAT/ACT Score
Academic Interests
Junior College
JC Graduation Date
High School/JC Coach's Name(s)
Coach's Email
Please Verify the Charactes Before Submitting Your form:
