2023-24 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 Name

Reference 2 Name

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

Mother

Father

Legal Guardian 1

Legal Guardian 2

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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.

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* 17. Please list your employment/work history (if any) including where you were employed and your role (e.g. server, barista, lifeguard, etc) and the dates of employment. If currently employed, you can just say Date-Present.

2023-24 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.

Question Title

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

Question Title

* 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.

Question Title

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

Question Title

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

Question Title

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

Question Title

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

Question Title

* 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.

Question Title

* 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.

Question Title

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

Question Title

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

Question Title

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

Question Title

* 17. Please list your employment/work history (if any) including where you were employed and your role (e.g. server, barista, lifeguard, etc) and the dates of employment. If currently employed, you can just say Date-Present.