Master of Arts in Heritage Tourism and Conservation

Personal Information

First Name *

Middle Name *

Last Name *

Other Names Previously Used *

Mailing Address *

City *

State *

Zip Code *

Phone Number (111-111-1111) *

Email Address *

Are you a citizen of the United States? * Yes No

If not, list your country of citizenship. *

Collegiate Experience

In the area below, list all colleges, universities you have attended, dates you attended, and degrees received. *

Attach your unofficial transcript(s). *

Additional Transcripts (if any)

What semester do you plan to enter NWOSU's Graduate program? * Fall Spring Summer

What year do you plan to enter the program? *

Do you intend to transfer any credit hours from another graduate program? * Yes No

If yes, how many hours do you intend to transfer to NWOSU (the maximum allowed in nine hours)? *

Authorization

Today's Date *

This institution, in compliance with Title VI and Title VII of the Civil Rights Act of 1964, Title IX of the Education Amendments of 1972, sections 503 and 504 of the Rehabilitation Act of 1973, the Americans With Disabilities Act Amendments Act of 2008, and other federal laws and regulations, and to the extent required by law, does not discriminate on the basis of race, color, national origin, sex, age, religion, physical or mental disability or status as a veteran in any of its policies, practices, or procedures. This includes, but is not limited to, admissions, employment, financial aid, and educational services. Inquiries concerning the application of these programs should contact Calleb Mosburg, Dean of Student Affairs and Enrollment Management, Northwestern Oklahoma State University, 709 Oklahoma Blvd., Alva, OK 73717, (580) 327-8415.