Failure to fill out the entire form could delay your enrollment process

Student Information Form
First Name:
Middle Name:
Last Name:
Semester:	Spring Fall Summer
Year:
Oklahoma State Email Address:
Home Address:
Home City:
Home State:
Home Zip:
Home Phone:
Mobile Phone:
Proctor Information
If you will be using an OSU on-campus testing center please provide the information below. If not, please submit the proctor agreement form located on the distance learning web site under "how to enroll."
Proctor Facility name:	Wes Watkins Center ($10 Charge to your Bursar Account) OSU/Tulsa Exam in classroom (Stillwater Campus)
Phone Number:
E-Mail Address: