Full Legal Name:      

Preferred Name:

SSN (no dashes):       Student ID:

City:    State:     Zip:       Telephone:

Email:

Parent/Guardian:

Home Newspaper:

Year of High School Graduation:   GPA:    ACT/SAT:

Fall Classification:  Freshman   Sophomore    Junior     Senior

Are you a sorority legacy?   Yes    No   If yes, what sorority? 

Personal References:  (Must include Name and Phone number or email)

1. 

2. 

3. 

To complete your registration you must also submit:

• Three (3) wallet size photos

• $60 registration fee

• An unofficial transcript

East Central University
Kathy Johnson Box T-7
Ada, OK  74820