OSU Support Form
OSU Support Form
Name
Name
*
First
Last
Cell Phone
Cell Phone
*
-
###
-
###
####
Email
*
Okstate Affiliation
*
Okstate Affiliation
Faculty
Staff
Student
Are you displaced due to the fires?
*
Are you displaced due to the fires?
Yes
No
In what areas do you need assistance? Check all that apply.
In what areas do you need assistance? Check all that apply.
Lodging
Food
Clothing
Medicine
Pet Care
Would you like this information shared with your unit/college to facilitate additional resources?
Would you like this information shared with your unit/college to facilitate additional resources?
Please share this information with my unit/college head
Please DO NOT share this information with my unit/college head
Would you like this information shared with your supervisor to facilitate additional resources?
Would you like this information shared with your supervisor to facilitate additional resources?
Please share this information with my supervisor
Please DO NOT share this information with my supervisor
Unit/College
Supervisor
Please provide any additional information or needs.