ONLINE REQUEST FOR MORE INFORMATION FOR PLAINVIEW CAMPUS
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REQUIRED INFORMATION *
Today's Date:
(mm/dd/yyyy)
*
Last name
*
First name
Preferred name
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Middle init.
Gender:
Female
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
AS
AZ
AR
CA
CO
CT
DE
DC
FM
FL
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
ME
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
TX
UT
VT
VI
VA
WA
WV
WI
WY
*
Zip code
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Country
Soc. Sec. # (if US citizen)
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Entry term
Summer 2009
Fall 2009
Spring 2010
Summer 2010
Fall 2010
Spring 2011
Summer 2011
Fall 2010
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Year you wish to attend
Select a Year
2009-2010
2010-2011
2011-2012
2012-2013
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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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