Know a Centenarian?

If you know of a Centenarian you would like to honor –

Please fill out the forms as completely as possible and submit them to our office.

One of our team members will contact you directly with the next steps.

Click here to download the PDF form

The form may be printed and filled out by hand OR save the file to your computer and use this fillable version. 

To Save: first, download the pdf form using the link above and then right click on the document. Select “Save as…” and then choose a location on your computer to save the file to. Complete the form and then save your file again.

Filling out the form may react differently depending upon the computer browser that you use. 

Scan the handwritten forms or attach the saved file to an email and send to:

[email protected]


Mail to:

Centenarians of Oklahoma
PO Box 702494
Tulsa, OK 74170

For more information about the Centenarians of Oklahoma, Download our Brochure


To read about the Boston University Research Study, click the Download button below.


To find out about the Oklahoma State University oral life history interview opportunity, click the Download button below.