Urban Scholars Application Checklist:
Last Name:
Middle Name:
First Name:
I have submitted my personal profile form:
Yes
No
I have submitted my short essay:
Yes
No
I have submitted my long essay:
Yes
No
I have submitted my reference letter from (1):
I have submitted my reference letter from (2):
Please provide the best telephone number, day and time of day to contact you in order to set your interview time and place.
Telephone number:
Cell phone number:
Alternate number:
Best day to call:
Best times to call:
Office for Multicultural Student Access and Retention
Lindley Hall 052
Athens, Ohio 45701
Tel:
(740) 593-9376
Fax:
(740) 593-2920
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Ohio University
All Rights Reserved