ILP - Online Application

If you have any questions or need assistance in completing this applicaion please contact us by phone: 405-744-4725, email ilp@okstate.edu , or in person at 409 Scott Hall.

If you see this don't fill out this input box.

First Name*

Last Name*

Preferred Name

Permanent Address

Address Line 1*

Address Line 2

City*

State*

Zip Code*

Student's Cell Phone Number

Student Email Address

Date of Birth*

Gender*

Race/Ethnicity (Select all that apply)*

American Indian/Alaskan Native

Asian

Black/African American

Hispanic/Latine

Native Hawaiian/Pacific Islander

White

How did you hear about this opportunity? Please provide the name of the person, if referred.*

Cumulative GPA*

Number of semesters completed at OSU*

Major(s)*

Minor(s)

College*

Do you have any dietary restrictions?

Please use the space provided below to list any extracurricular activities that you are involved in, on- or off-campus (student organizations/clubs, jobs, internships, study abroad experience, etc).*

Please answer the following in a VIDEO ESSAY format, keeping each response limited to 250 words. EMAIL your completed application and video file to maura.loyola@okstate.edu.

Why did you choose to attend school at Oklahoma State University?
Why are you interested in the Inclusion Leadership Program?
What does the phrase global citizen mean to you?
What mentoring experience do you have?
Please give one example of how diversity has impacted you as a student at OSU.