ONLINE REQUEST FOR MORE INFORMATION FOR PLAINVIEW CAMPUS
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REQUIRED INFORMATION *
Today's Date:
(mm/dd/yyyy)
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Last name
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First name
Preferred name
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Middle init.
Gender:
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Male
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Email address
Phone number
(with area code)
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Mailing address
Address line 2
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City
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State
AL
AK
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AZ
AR
CA
CO
CT
DE
DC
FM
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GA
GU
HI
ID
IL
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MH
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
MP
OH
OK
OR
PW
PA
PR
RI
SC
SD
TN
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UT
VT
VI
VA
WA
WV
WI
WY
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Zip code
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Country
Soc. Sec. # (if US citizen)
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Entry term
Spring 2007
Summer 2007
Fall 2007
Spring 2008
Summer 2008
Fall 2008
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Year you wish to attend
Select a Year
2007
2008
2009
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Current high school or college
Birthdate
Please complete the items below if known:
(00/00/00)
ACT score
SAT score
GPA
My present interest in WBU is very strong
somewhat strong
uncertain
Please check the items below that you wish us to mail to you.
Application packet
Current catalog
Financial Aid package
The information you supplied will be sent to the Admissions office. Check the boxes at right to send this info to:
Art Dept.
Athletics program
Business Div.
Education Div.
Languages Div.
Mass Communications Dept.
Mathematics Dept.
Music Dept.
Phys. Ed. Div.
Religion Div.
Science Dept.
Social Sciences
Div.
Speech Dept.
Theatre Dept.
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