Apply to Shawnee State University

SSU Office of Admission

(740) 351-4778

Student Phone-A-Thon Application



Name:  
                        Last                    First                  M.I.                  
 
Student ID:     
 
Address:  
 
City:      State:        Zip:  
 
Home Phone:        Mobile Phone:         
                             (xxx-xxx-xxxx)                                                       (xxx-xxx-xxxx)
 
Email:  
 
Class:             Major:        
                                          
Activities/Clubs:        
 
Other Interests     
 
Availability:          
 
Why are you at Shawnee State?
 
What is your favorite thing about SSU or campus?
 
Calling / Sales Experience:
 
Other:
 
Have you ever been convicted or accused of moral turpitude and/or a felony?
  Yes        No
 
If yes, explain below: