Request Information

This form is intended for Requesting Information Packets to be sent by Mail. For General Inquiries, Please use the "Contact Us" Form

Please Enter as much Information as possible. Required Fields are marked with a *. All information you provide will be kept confidential and will not be shared with any parties outside of Oklahoma Panhandle State University.

Contact Info:
* First Name:
* Last Name:
* Address:
* City:
* State (For International Addresses, select INTERNATIONAL):
If International, Country:
* Zip / Postal Code:
* Email:
Phone:

Additional Info:
Date of Birth:
Gender:
Name of previous High School or College Attended:
Grad Year:
ACT/SAT Score:
GPA:

Interests
What majors are you interested in?
What sports or activities are you interested in?

Visit us
Would you like to schedule a campus visit?:
If yes, what method would you prefer us to contact you?:

One last question
* To ensure user authenticity, please complete the following: Two plus two equals: