Student Information Form

We are excited to welcome you into the OKWU family! Our Student Development team is here to help you succeed during your time at OKWU whether that be dorm life, social life, spiritual life, and everything in between. We want to be here for you through this process.

The Student Information Form will encompass your housing form, medical forms, parking permit, food allergies, and OKWU ID Photo. This form cannot be saved and returned to, so before starting this form, you will need the following:

·         Vaccinations and Immunization Records

·         Medical Insurance Information

·         Medical History and Information

·         Vehicle License Plate Number, Model, Make, and Year

·        A photo for your student ID.

If you have any questions, here is the contact information for the Student Development Staff:

Reed Garland: Men’s Director of Residential Life (918)782-8960 or rgarland@okwu.edu

Natalie Church: Women’s Director of Residential Life (918)766-6228 or nchurch@okwu.edu

Aaron Bunker, Director of Engagement (918)397-7034 or abunker@okwu.edu

Stevan Djukic, Director of Campus Safety (918)876-2529 or sdjukic@okwu.edu

Ben Rotz, Associate VP for Student Development, (918)766-4357 or brotz@okwu.edu

Sunshine Hattingh, Disabilities Coordinator (918)397-4351 or sshattingh@okwu.edu 

Kyle White, Vice-President of Student Development (918)766-5512 or kwhite@okwu.edu

Alex Young, Activities and Intermural Director (918)397-3504 or ayoung@okwu.edu

Please read:

The OKWU Housing Form also contains the Off-Campus Housing Form that will appear only if you are eligible for off-campus housing. Eligibility requirements for off-campus housing are (any of the following, or a combination):

90 Credit Hours Completed

 22 Years of Age or Older

Living with Parents or Guardian

Married

Living with Approved OKWU Host Family

Note: Your housing arrangements may impact your financial aid. Please contact financialaid@okwu.edu if you have questions.

We have not been able to locate your record. Please verify the information entered and try again.

By providing your email address, you give OKWU permission to reach out to your via email and share important updates on your form submission. This email address may be used by other departments across campus for similar purposes.

Every effort will be made to honor requests for housing arrangements and roommate preferences; however, the University reserves the right to assign students to rooms based on availability. Oklahoma Wesleyan University admits students of any age, race, color, nationality, ethnic origin or non-disqualifying handicap to all the rights, privileges, programs and activities generally accorded or made available to students at the school and does not discriminate in any of its policies, practices, or procedures.

Questions regarding housing may be directed to Reed Garland (rgarland@okwu.edu) or Natalie Church (nchurch@okwu.edu).

Triple and Double Occupancy

·      Triple Occupancy — Every room on the OKWU campus (with the exception of Wesley Hall) has potential to be a triple occupancy room. In this arrangement, students will share a bedroom with two direct roommates. If a student lives in a suite-style dormitory (Chapman or Colaw Hall) where two rooms are adjoined by a bathroom, then that student will have two direct roommates and three suitemates. More furniture including a triple-bunked bed, an extra dresser, an extra desk, and chair are provided to accommodate the students.

·      Double Occupancy — Student will share a bedroom with one direct roommate. If a student lives in a suite-style dormitory (Chapman or Colaw Hall) where two rooms are adjoined by a bathroom, then that student will have one direct roommate and two suitemates (4 total). All triple occupancy rooms have the potential to be double occupancy if space permits, based upon enrollment and residence hall capacity.

·       Room Rates — Students living in a triple occupancy room will receive the triple occupancy rate. Students living in a double occupancy room will receive the double occupancy rate. If occupancy changes throughout the course of a school year, the student will be charged for their new respective occupancy, effective immediately. These housing charges will be prorated to the time of year of the occupancy changes. This policy remains consistent, regardless of reasons for moving and/or consent of all residents involved.

Housing Policies

·      Housing and Roommate Notifications — Students who have completed the Housing Application and submitted the $150 enrollment commitment will be notified via email of their housing and roommate assignment. Roommate contact information will be provided if allowed.

·      Residence Hall Curfew — OKWU has a campus-wide curfew of 2:00 am every night. Students are expected to be in their respective residence halls by this time. Doors will be locked by campus security at curfew.

·      Open House — Residence hall Open House hours provide students with the opportunity to host guests of the opposite gender in their dorm room. Open House hours are Sundays from 1:00 – 8:00 pm, Tuesdays from 6:00 – 10:00 pm and Thursdays from 6:00 – 10:00 pm. All halls will be open for visitation during these times.

Instructions

Before filling out this form please make sure that you have:

- Ask your doctor for Immunization Records, then scan it to PDF

OR

- If you cannot obtain your Immunization Records from your doctor - Fill out the Immunization Records form first to the best of your ability using the link below, then once submitted, download the form and save it to your computer. You will attach the immunization records form to this Medical Form. https://lfforms.okwu.edu/Forms/Immunization-Records

OR

- If your Immunization Records are in a language other than English - Fill out the Immunization Records form first using the link below, then once submitted, download the form and save it to your computer. You will attach the immunization records form to this Medical Form. https://lfforms.okwu.edu/Forms/Immunization-Records

The following shots are required by the Oklahoma Wesleyan University: 

If the student received the meningitis shot before the age of 16 they will need to get a booster. If the student received the shot on or after the age of 16 they do not need to receive another shot.

Please see this document for more information about the Meningitis vaccine: http://www.cdc.gov/vaccines/hcp/vis/vis-statements/mening.pdf

A copy of your immunization record is preferred. You should have already obtained a PDF of Immunization Records prior to submitting this form. 

If you cannot obtain a copy of your Immunization Records from a physician, please contact Nurse Deb.

If your Immunization Records are in a language other than English, please click on the link below to fill out the online Immunization Records Form. The IR Form will open in a separate tab so once you submit the IR form, make sure to DOWNLOAD it to your computer and come back to this form. You will use the Upload button below to upload the form. 

A TB Skin Test is required for all International Students. 

Objection:
I hereby certify that the immunization(s) specified above (in Section "Exemption applications") is/are medically contraindicated for the named student.

I hereby certify that immunization(s) listed below is/are contrary to the teachings of the above named student's religion. I also understand that, in the event of a disease outbreak at the Oklahoma Wesleyan University, I may have to be excluded from activities and/or classes for my protection and for the protection of the other students at the University.

I hereby certify that immunization(s) is contrary to my personal beliefs. I request an exemption to the immunization requirements of Oklahoma Wesleyan University. I have written a brief summary of my objections in the space provided below. I understand that lost records are not grounds for an exemption. I also understand that, in the event of a disease outbreak at the Oklahoma Wesleyan University, I may have to be excluded from activities and/or classes for my protection and for the protection of the other students at the University.

Since you are missing one or more documents to fill out this form, please come back to the form when you have the required documents. 

OKWU only discloses personally identifiable information from a Student Health Department record to appropriate parties in connection with an emergency if knowledge of the information is necessary to protect the health or safety of the student or other individuals.

Yearly Permit is intended for ALL students that will be parking on campus.

Parking Permits can be picked up at the Campus Safety office weekdays between 9am and 3pm.

Please upload a photo similar to a driver's license photo, a colored photo with just you, head centered with a neutral background. Please no hats, sunglasses, or filters. 

OKWU uses an electronic ID system. Once your ID request is processed, you will receive an email on how to add your ID to your smartphone. Please allow 24-48 hours to receive this email to your okwustudent email.  

You will also need to have a parent complete this form since you are not yet 18 years old. Please follow the steps below.

Student Accounts Financial Agreement

I, the above-named student at Oklahoma Wesleyan University (OKWU), understand that I am registering for educational services at OKWU. I hereby acknowledge and agree that I am fully responsible for the cost and expense of all tuition, fees, housing, food plans, books, fines, and/or other related educational expenses (Charges) at OKWU.  I hereby also acknowledge and agree to abide by the terms and conditions of this Financial Agreement for Educational Services (Financial Agreement) at OKWU and recognize that it is applicable to the  Terms as well as any previous terms I have attended at OKWU.

Financial Agreement for Educational Services at Oklahoma Wesleyan University

Under this Financial Agreement, the University may allow a credit on a student’s account for educational services to cover the cost of tuition, fees, housing, food plans, and fines, and that I must make payment arrangements to cover these costs over the course of the academic term.  

Terms and Conditions:

• I hereby accept and agree that the University may allow an extension of credit upon my student account in an amount equal to the Charges as established by OKWU for the academic term.

• I hereby agree that the extended credit amounts on my student account shall be used solely and strictly to pay for the costs of Charges in the manner and method as set by OKWU Student Services. To view an outline of tuition, fees, housing, and food plan costs, visit the Student Accounts section in the University Catalog. 

• I understand that if I incur any additional charges, such as costs associated with payment plan fees, fines, books, bank returned checks, or other miscellaneous costs, that such expenses will be placed on my student account; I hereby agree that I am solely and fully responsible for the payment of these expenses to OKWU.

• I understand that in the event I withdraw from OKWU, I shall do so according to the guidelines established by OKWU in the Refund Policy section of the University Catalog. If I withdraw, I understand and hereby agree to pay OKWU for all charges associated with these classes and residency at OKWU, if applicable, as calculated according to OKWU’s Withdrawal Policy. If I withdraw from the university, my full balance becomes due immediately. If I am unable to pay the full balance, I will coordinate with the OKWU Student Accounts Office to create a payment arrangement. Failure to establish a payment arrangement and/or pay the balance may result in being sent to an outside collection agency.

• I understand that I am responsible for maintaining my current address and phone number even if I am no longer enrolled at OKWU by notifying the Registrar’s Office immediately of any change.

• I agree that this Financial Agreement creates certain financial responsibilities which constitute a loan between me and OKWU to assist in the financing of my education, and I further understand that such financial assistance may not be dischargeable in accordance with the United States Bankruptcy Code in any bankruptcy proceeding before the United States Bankruptcy Court.
  

• All students are required to be in good standing on their OKWU Student Account to register for the upcoming term.  Good standing means the student is current on a monthly payment plan or has a balance due under $2,000.00 with payment(s) made within the current term on their account.
  

• All students are required to pay their balance in full before attending classes at the beginning of each term/session or if approved by OWKU Student Services, establish a Payment Plan that will allow for full payment during the term.
  

• I understand that if I am unable to pay the Charges in full prior to the start of classes, I will coordinate with the OKWU Student Services to create a payment arrangement under which I shall make deferred payments toward the balance of my OKWU student account to repay the University by the end of the term the amount(s) credited to me. Due dates shall be set at the time of payment arrangement.

• I hereby agree that if I fail to make the minimum payment amount(s) in accordance with the payment arrangement or plan and/or pay the University the full amount of monies owed, the following conditions will apply:

o   The University may assess a 6.0% per annum late fee based on the minimum amount due;

o   The University may place a hold on my ability to register for future courses until the balance of my account is paid in full;

o   The University shall place a hold on the release of my academic records (includes transcripts and/or diploma) until the balance of my account is paid in full;

o   The University may refer my outstanding debt to an external collection agency for collection pursuant to state and federal law, which may result in collection costs of up to 50% being added to any outstanding balance or debt. In the event of a referral of my debt to an external collection agency, I hereby agree to be responsible for all collection costs of up to 50% incurred by the University, including any service charges and/or interest. In the event the services of an attorney are required to collect an unpaid balance, I acknowledge that I will be responsible to pay all lawful attorneys’ fees, plus all court and other collection costs;

o   This Financial Agreement shall be construed in accordance with Oklahoma law and any lawsuit to collect unpaid fees may be brought in the appropriate court sitting in the State of Oklahoma regardless of my domicile at the time of bringing such suit. In the event of litigation, I agree to pay all costs associated with such, including but not limited to, attorney and legal fees; and/or

o   The University and/or an external collection agency may report my delinquent debt, which may negatively impact my credit history and score, to a national credit bureau.

·       Reimbursements will not be issued until the account balance is Paid in Full.

By initialing, I hereby ACCEPT AND AGREE to the terms and conditions of the Financial Agreement and understand the legal implications and obligations.

By initialing, I understand the OKWU food and housing policies and charges. For a full list of food and housing policies, please see the University Catalog.

Student Financial Aid

Credit Balances on Account

By affixing my signature electronically to this form below, I certify to Oklahoma Wesleyan University that I am the person whose name appears at the top of this form and that I voluntarily signed this form, intending to be bound by the terms of the agreements set forth in the above sections. I further understand and acknowledge that any misrepresentation or breach of contract set forth herein may result in litigation, credit collection, refusal of services, disciplinary action, and/or financial penalties being assessed.