Application file created for:

,
Congratulations on submitting your application to Langston University!
We’re eager to get started on your one-week admission decision, but first, we’ll need to receive your supporting materials. Follow these steps to make sure we have what we need. Step 1: ave and print out this application package.
S
In this package, you’ll find an Official Document Request and your application as you filled it out online. Just to be clear, you do not need to send us this printed copy of your application. It’s for your records. Step 2:  ave your counselor submit your high school transcripts.
H
you’ve printed this package out, hand the Official Document Request form to your
Once
counselor and ask that the necessary follow-up steps be taken as soon as possible. Step 3:  ave your test scores sent to us.
H
your ACT or SAT scores forwarded to us is easy. To submit ACT scores, go to
Having

http://www.actstudent.org/scores/send/index.html (our code is 3400). To submit SAT scores, go to http://sat.collegeboard.com/scores/send-sat-scores (our code is 6361).

I’m looking forward to considering you for admission!
Chauncey J. Jackson
Interim Executive Director of Enrollment Management
P.S. There’s no better way to get a feel for Langston University than visiting campus. To start planning

your visit, give us a call at 405-466-3428. We’d love to see you here!

Langston University | Office of Admission | P.O. Box 667 | Langston, OK 73050

Official Document Request
Student:
T
 o complete your application, please sign and date this form and deliver it to your guidance counselor immediately. That way, we can give you our fastest admission deci

Student release and waiver status:
I waive my right to review or access letters and statements of recommendation on my behalf.
YES
NO
By signing below, I grant my high school permission to release my transcripts to Langston University.

01/08/2014 10:25

STUDENT NAME

Date

Counselor:
Your student referenced above has just submitted an application for admission to Langston University.
Please take a moment to forward us the following at your earliest convenience: 
Official high school transcripts

Upload the documents now.
For your convenience, you can send documents electronically right now with SENDedu, a secure document transfer service used by over 38,000 school counselors. Simply go to
SENDedu.org/login, enter the student PIN below and create an account (if you haven’t already).

Student PIN: HGFY5A35Z
Or you may fax or mail documents to:

Fax Number: 405-466-3391
Mailing Address: Office of Admission, Langston University, P. O. Box 667, Langston, OK 73050
If you are a Docufide member, you may access your account to submit documents.

Thank you so much for your prompt attention in submitting these documents.

6361AI0004

Langston University - Langston University Leadership Application

Personal Information
First Name

Cemadric

Middle Name

D

Last Name

Devereaux

Suffix
Preferred Name

Cemadric

Home Phone Number

214-213-6100

Cell Phone Number

214-475-9775

[ ] I give permission to Langston University to send me important updates via text messaging. (Stan

Is this parent's address the same as your permanent address?

Yes

Citizenship
Citizen Type

U.S. Citizen

Optional Information
Information requested regarding the applicant's race or ethnicity is voluntary, and will be used in a non-discriminatory manner consistent with applicable civil rights laws.
Are you of Hispanic or Latino descent?

No

Regardless of your answer to the prior question, please check one or more of the groups on the right that best describes you.

[ ]
[ ]
[X]
[ ]
[ ]

American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White

Your Plans
When do