Cross Training Application

Cross Training courses are continuing education offered for the specific purpose of
assisting persons who are in the ordination process with The Wesleyan Church.
Oklahoma Wesleyan University admits students of any race, color, national and ethnic origin to all the rights, privileges, programs and activities generally accorded or made available to students at the college. It does not discriminate on the basis of race, color, national origin, or sex in any of its policies, practices, or procedures.
Date*field type date

Student Information

Social Security Number*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Date of Birth*field type date
Genderfield type drop-down
First Name*field type single line
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Middle Namefield type single line
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Last Name*field type single line
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Former Name(s)field type single line
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Email Address*field type email
Address*field type address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
Country of Citizenship*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Ethnicityfield type single line
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Church Namefield type single line
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Home phone number*field type single line
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Cell phone numberfield type single line
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Work phone numberfield type single line
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District:field type single line
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Have you ever attended Oklahoma Wesleyan before?*field type drop-down
What year did you attend OKWU?field type single line
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Program Information

I plan to enter OKWU’s Cross Training Program:*field type drop-down
Entrance Year:*field type single line
Input blocked. Maximum character limit of 4 characters reached.
How did you hear about Cross Training?field type multi line

Education Information

Education background (check all that apply):field type checkbox
Education background (check all that apply):High School DiplomaGEDBachelor DegreeSome CollegeSome GraduateMaster DegreeAdditional Education

Signature

I certify that the statements in this application are correct to the best of my knowledge. I further authorize Oklahoma Wesleyan University to make appropriate inquiries when necessary to certify the accuracy of my records. I understand that failure to answer any questions on this form truthfully and accurately might make me ineligible for admission into the Cross program at Oklahoma Wesleyan University or may result in my dismissal from the program. By typing my full legal name above today's date below I consent to the use of electronic records and signatures including the provision of state and federal disclosures in place of written documentation and handwritten signatures in connection with my application.
eSignature*field type signature
(Please type your full name)
Datefield type date