Tri-Cities Undergraduate Info Request

Are you interested in a Graduate Program? Please use this form to request additional information.

Basic Information

First Name

Middle Name

Last Name

Email Address

Birthdate

Mailing Address

Country

Street

City

Region

Postal Code

Mobile Phone Number

Okay to Text?

Yes

No

Anticipated Start Term

I will be entering WSU as a

Questions, comments or additional information you may be looking for.

Would you like to provide optional supplemental information?

Yes

No

High School

High School Grad Year

High School GPA

College, if applicable

Ethnicity

Family Information

Relationship Type

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Email

Relationship 2 Type

Parent/Guardian 2 First Name

Parent/Guardian 2 Last Name

Parent/Guardian 2 Email