SSG Clyde A. Taylor Award

High School Information
What high school will graduate from in May 2026?
Most recent cumulative weighted and unweighted GPA:
High School activities, community activities, volunteer work, honors, and any leadership positions held:
ACT Information
ACT scores are not required for award eligibility.
When did you take the ACT (Month/Year):
ACT composite (overall) score?
For Students Concurrently Enrolled at Northeastern Oklahoma A&M College
Approximate number of credit hours completed by May 2026:
Current GPA:

Educational & Community References

Please list one teacher and his/her contact information that can attest to your academic prowess. Please also list one community member and his or her contact information that can attest to your character outside of school.
Name

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Name

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number

Applicant's Signature
By signing (typing your legal name) in the space below, you are certifying that all the information listed above is correct and that you as the student have completed the application. When you press the submit button, you will receive an email confirmation that your application was received. Please print for your records and retain as verification of your application.
Signature:
Today’s Date

MonthDayYear
Date
Should be Empty:

Eligibility Requirements