Prospective Student Information Request

Personal Information

First Name*

Middle Name

Last Name*

Parent or Guardian

Permanent Home Address

Street*

City*

State*

Zip*

Home Phone ex: (555) 555-5555*

Email Address*

Academic Information

Anticipated Major*

ACT/SAT Score

Have you applied for admission to OSU? Yes No

Instrument*

High School Name (no abbreviations)

Anticipated High School Graduation Date

Biographical Information and Comment

Bio and Comment

Verification

Thank You