SOUTHEASTERN OKLAHOMA STATE UNIVERSITY RESIDENCE HALL AGREEMENTSoutheastern Oklahoma State University Residence Hall Agreement • July 24th, 2019
Student’s Name (Last, First, Middle) E-mail address Social Security Number Citizen of (Country) Permanent Mailing Address City State Zip Phone Number ( ) Birth date Age Sex What is your student ID#? Emergency Contact Name and Phone Number Mo Day Year Male Female
