Outreach Member Application
Outreach Member Application
CONTACT INFORMATION
Name
Name
*
First
Last
Phone
Phone
*
-
###
-
###
####
Z Number
*
Must be
9
characters.
Currently Entered:
1
characters.
Email
*
Age
*
Major
*
Classification
*
Freshman
Sophomore
Junior
Senior
Graduate
Dorm
*
Claudius
EMR
Frances
Suzie
Suzie North
Michael
Gabby
Niko
Hermien
Commuter
Are you an international student?
*
Yes
No
TOP OUTREACH PREFERENCE
Outreach options available at orumissions.com.
1. First Preference
*
Tulsa Hills Youth Ranch
Thursday Night Lights
Gatesway Foundation
The Bridge
Tulsa Boys Home
University Village
2. Second Preference
*
Tulsa Hills Youth Ranch
Thursday Night Lights
Gatesway Foundation
The Bridge
Tulsa Boys Home
University Village
Were you recruited by someone to join an outreach team?
*
Were you recruited by someone to join an outreach team?
Yes
No
Please indicate who recruited you and what outreach team they are on.
Driving Help
*
Driving Help
Check here if you have your own vehicle and are willing to help drive to outreach.
Check here if you are 21 or over and are willing to drive an ORU van to outreach.
Check here if you are not willing/able to drive.
Other Requests, Questions, Concerns:
Type the letters you see in the image below.