OSLEP Student Application

Name*

First NameLast Name

University Email Address*

example@example.com

Phone Number*

Please enter a valid phone number.

Shipping Address for Course Materials (To be mailed six weeks before start of seminar. Best address at that date )*

Street Address

Street Address Line 2

CityState

Zip Code

University/College*

Sooner ID*

Birthday

MonthDayYear

I will be 18 years old or older at the start of the OSLEP seminar

YESNO

Classification*

Major(s)*

Minor(s)*

Tell us a bit about your interests, activities and school honors.*

Faculty Recommendation*

First NameLast Name

Faculty Recommendation Phone Number

Please enter a valid phone number.

Faculty Recommendation Email*

example@example.com

Upload Your Transcript*

A copy of your transcript from the institution in which you are currently enrolled is required. This can be an unofficial transcript, but an advisor's copy is not acceptable.

Course Preference #1*

Course Preference #2*

Essay: You have two options to choose from in order to complete this part of the application. The essay (choice #1 or #2) is an essential component of the admission process. Please type the essay with your name on it. Please submit either as a Word or PDF document.

Choice #1) In 300-400 words describe your most intellectually exciting or challenging experience.

Choice #2) Send a writing sample of a paper of at least 1500 words (or five pages), written exclusively by you for a past college course (no group project papers!). In addition to the paper, on new pages at the end of your essay, write an answer to the following questions (and your answer should be at least 250 words in length, total): Why are you proud of this paper? In what ways did working on this paper develop or advance your knowledge of a subject?

Upload Your Essay or Writing Sample*

Do you need housing for the duration of the seminar?*

Gender*

Gender is used for hotel suite assignments. OSLEP uses two-bedroom hotel suites for students who request hotel accommodations. We pair same-gender students unless otherwise requested. OSLEP is committed to providing a safe, inclusive, and supportive living experience for all students attending an OSLEP seminar. Gender inclusive housing options allow students who identify as transgender, gender non-conforming, cisgender and similar the ability to choose a roommate of any gender or gender expression. Gender inclusive housing options help further develop a climate that is positive, respectful, and inclusive for all OSLEP scholars. Gender inclusive housing is voluntary. Please email oslep@oslep.org if you desire an alternative to same gender housing assignments.

Preferred Pronouns*

Enter your pronouns

Dietary Restrictions or dietary accommodations needs*

Accessibility Needs*

Emergency Contact Name*

First NameLast Name

Emergency Contact Phone*

Please enter a valid phone number.

Photography Release

I hereby grant permission to The Oklahoma Scholar-Leadership Enrichment Program (OSLEP) representatives, to take and use: photographs and/or digital images of me for use in news releases and/or educational materials. These materials might include printed or electronic publications, Web sites or other electronic communications. I further agree that my name and identity may be revealed in descriptive text or commentary in connection with the image(s). I authorize the use of these images without compensation to me. All prints and digital reproductions shall be the property of OSLEP.

I agree to the photography release*

I agreeI do not agree

Acknowledgement, Waiver, and General Release

I will be participating in an OSLEP seminar, sponsored by the Oklahoma Scholar-Leadership Enrichment Program.

I understand that OSLEP seminars may carry inherent risks. I understand that factors beyond anyone’s control, including negligence, may affect my safety and well-being. In signing this Acknowledgement, Waiver, and General Release, I acknowledge that participate willingly and assume all risks associated with my participation.

If injured, I will rely solely on my own insurance or resources to cover any medical bills or other expenses or losses. I understand that no workers’ compensation or third-party insurance will be available to my family from OSLEP.

On behalf of my family, I hereby release and promise not to sue OSLEP and its officers, directors, agents, representatives, employees, contractors, affiliates, successors, and assigns (collectively, “OSLEP”) from any and all liability for any claims or losses that I now have, ever had, or may ever have, related, in any way, to my activities in relation to an OSLEP seminar. Further, I agree to indemnify and hold harmless each member of OSLEP from any and all liabilities or claims made as a result of or in any way related to my participation in OSLEP, whether caused by negligence or otherwise. I intend that this Acknowledgement, Waiver, and General Release be construed broadly to the maximum extent permissible under applicable law.

In the event of a medical emergency, I hereby give OSLEP my permission to secure treatment for me and, if necessary, to secure my transportation to the nearest suitable hospital, all at my expense.

Signature*

Clear

OSLEP Student Application

Essay

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