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Tech Connect

Tech Connect Divisional Tuition Waiver Scholarship

Student Information

OSU-OKC Student ID# *

Applicant’s Legal Name

First Name: *

Middle Name: *

Last Name: *

Mailing Address

Address: *

City: *

State: *

Zip: *

Contact Information

Phone: *

Email: *

Career Technology Center Information

Name of career technology center attended:

Career technology center program attended:

Are you a member of the Oklahoma Chapter of the National Technical Honor Society?

Additional Information

Please list special circumstances or financial needs related to your request for scholarship assistance:

Please list leadership skills and community involvement:

Oklahoma State University — OKC

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