OPEN RECORDS ACT REQUEST Survey

Information requested: Please specify the nature of your request and the records you seek, providing detailed information to make the search as efficient and timely as possible. It is helpful to you and OSSM to narrow your request as much as possible.

1.Information Requested:(Required.)

2.Purpose of Request:(Required.)

Personal

Commercial

Public Interest

3.Please specify date range:

Starting Date

Date

SuSunday

MoMonday

TuTuesday

WeWednesday

ThThursday

FrFriday

SaSaturday

Ending Date

Date

SuSunday

MoMonday

TuTuesday

WeWednesday

ThThursday

FrFriday

SaSaturday

4.I am a member of the (select one)(Required.)

General Public

Media

5.Contact Information:(Required.)

Name (First, Last)

Media or Company Name (if not individual)

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

6.By completing and submitting this form, I am requesting the above records under the Oklahoma Open Records Act. I acknowledge that if the records are available in electronic form, they may be provided to me by email or other electronic means. I also may request to inspect the records in person instead of being provided with a copy.(Required.)

7.Date(Required.)

Please submit electronically or print and return form to:
Director of Public Information
Oklahoma School of Science and Mathematics
1141 N. Lincoln Blvd.
Oklahoma City, OK 73104
communications@ossm.edu