Info Request

Basic Information

Student First Name

Student Middle Name

Student Last Name

Student Email Address

Student Birthdate

Student Mailing Address

Country

Street

City

Region

Postal Code

Student Mobile Phone Number

May we text you?

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May we text you?

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Yes

No

Anticipated Start Term

I will be entering WSU as a

Would you like to provide optional supplemental information?

Yes

No

Academic Interests

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