Enid Higher Education Scholarship Form

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Student Information

Student ID *

Last Name *

First Name *

Permanent Home Address *

City *

State *

Zip *

Student Phone *

Student Email Address *

Classification * Freshman (0-30) Sophomore (31-60) Junior (61-90) Senior (91+) Graduate Non-Degree Seeking

Student Status * Full-Time Student Part-Time Student

Academic Major *

Cumulative GPA *

High School Attended *

High School Graduation Year *

Previous Colleges Attended

Terms & Conditions

By submitting this application, I verify the information provided is correct and truthful to the best of my knowledge.

Checking this box serves as your electronic signature.