2022-23 OUCOP High School Early Assurance Program Application Survey

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* 1. Contact Information

First Name

Last Name

Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Primary Phone Number

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* 2. Are you a U.S. citizen or U.S. permanent resident?

U.S. Citizen

U.S. Permanent Resident (green card holder)

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* 3. High School Attended & Expected Graduation Date

High School Attended

High School City/Town & State

Expected Graduation Date

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* 4. Have you completed any AP/IB credit that you plan to receive college credit for?

Yes

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* 5. If you answered yes to the question above, please list the AP/IB course(s) you plan to take the test for and receive college credit. If you answered no, you may skip this question.

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* 6. Have you taken any college courses while in high school?

Yes

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* 7. If you answered yes to the question above, please list the college/university attended and the course(s) you received college credit for. Include your grade and number of credits for the course(s). If you answered no, you may skip this question.

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* 8. If you have received grades for college courses, what is your current overall college GPA?

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* 9. What is your current overall high school GPA?

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* 10. Have you taken the ACT or SAT exam?

Yes, I have taken the ACT exam.

Yes, I have taken the SAT exam.

I have taken both.

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* 11. Which exam do you want us to consider for your application?

ACT

SAT

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* 12. Please enter your highest ACT composite score or combined SAT score. When you submit your ACT or SAT scores, they do not have to be official. You can email a copy of your personal score report to OUPharmD@ouhsc.edu.

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* 13. Please list the names and titles of the two references you plan to provide for your application. One must be a math or science teacher.

Reference 1

Reference 2

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* 14. Please list your parents' or guardians' names.

Mother

Father

Legal Guardian 1

Legal Guardian 2

2022-23 OUCOP High School Early Assurance Program Application

PharmD Early Assurance Program Application

Question Title

* 1. Contact Information

Question Title

* 2. Are you a U.S. citizen or U.S. permanent resident?

Question Title

* 3. High School Attended & Expected Graduation Date

Question Title

* 4. Have you completed any AP/IB credit that you plan to receive college credit for?

Question Title

* 5. If you answered yes to the question above, please list the AP/IB course(s) you plan to take the test for and receive college credit. If you answered no, you may skip this question.

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* 6. Have you taken any college courses while in high school?

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* 7. If you answered yes to the question above, please list the college/university attended and the course(s) you received college credit for. Include your grade and number of credits for the course(s). If you answered no, you may skip this question.

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* 8. If you have received grades for college courses, what is your current overall college GPA?

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* 9. What is your current overall high school GPA?

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* 10. Have you taken the ACT or SAT exam?

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* 11. Which exam do you want us to consider for your application?

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* 12. Please enter your highest ACT composite score or combined SAT score. When you submit your ACT or SAT scores, they do not have to be official. You can email a copy of your personal score report to OUPharmD@ouhsc.edu.

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* 13. Please list the names and titles of the two references you plan to provide for your application. One must be a math or science teacher.

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* 14. Please list your parents' or guardians' names.

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* 15. Please list any clubs, organizations, or activities you have been involved with in high school.

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* 16. Please list any honors, awards, or scholarships you have received in high school.