Please take a moment to answer a few questions about yourself. Required Fields in Bold.

Personal Information

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

Education Information

High School

Graduation Date

High School Core GPA

SAT/ACT Score

Academic Interests

Junior College

JC Graduation Date

Athletics and Other Extracurricular Activity Information

High School/JC Coach's Name(s)

Coach's Email

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