First Name

Middle Initial

Last Name

Date of Birth

January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910

Gender

Male
Female

Street Address

Apartment Number (if applicable):

City

State

Armed Forces Americas Armed Forces Europe Alaska Alabama Armed Forces Pacific Arkansas American Samoa Arizona California Colorado Connecticut District of Columbia Delaware Florida Federated States of Micronesia Georgia Guam Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Marshall Islands Michigan Minnesota Missouri Northern Mariana Islands Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Puerto Rico Palau Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Virgin Islands Vermont Washington Wisconsin West Virginia Wyoming

Zipcode

Country (for non-residents of the United States)

Telephone

Home Cell

E-mail address where you would like to receive correspondence*:

_{*If you prefer not to receive email from us, please do not fill out this field.}

Intended Semester of Entry

Fall (August)
Spring (January)
Summer (May/June)
Undecided

Intended Year of Entry

undecided 2010 2011 2012 2013 2014 2015

Are you interested in enrolling as a freshman?

Yes No

Intended Academic Program (Select up to 3):

1 Accounting Addiction Studies Aging Anthropology, B.A. Biology, B.S. Business Administration, B.A. Computer Science, B.S. Criminal Justice Digital Technology & Culture, B.A. Early Childhood Education Education, B.A. (with K-8 Certification) Electrical Engineering, B.S. English, B.A. Environmental Science, B.S. Finance Fine Arts History Human Development, B.A. Humanities, B.A. Management & Operations Management Information Systems Mechanical Engineering, B.S. Marketing Nursing, B.S. (RN-BSN) Personnel Pscyhology and Human Resource Management Political Science Pre-Health Studies Pre-Law Studies Pre-Med Studies Professional Writing Psychology, B.S. Public Affairs, B.A. Social & Environmental Justice Social Sciences, B.A. Sociology Women's Studies

2 Accounting Addiction Studies Aging Anthropology, B.A. Biology, B.S. Business Administration, B.A. Computer Science, B.S. Criminal Justice Digital Technology & Culture, B.A. Early Childhood Education Education, B.A. (with K-8 Certification) Electrical Engineering, B.S. English, B.A. Environmental Science, B.S. Finance Fine Arts History Human Development, B.A. Humanities, B.A. Management & Operations Management Information Systems Mechanical Engineering, B.S. Marketing Nursing, B.S. (RN-BSN) Personnel Pscyhology and Human Resource Management Political Science Pre-Health Studies Pre-Law Studies Pre-Med Studies Professional Writing Psychology, B.S. Public Affairs, B.A. Social & Environmental Justice Social Sciences, B.A. Sociology Women's Studies (optional)

3 Accounting Addiction Studies Aging Anthropology, B.A. Biology, B.S. Business Administration, B.A. Computer Science, B.S. Criminal Justice Digital Technology & Culture, B.A. Early Childhood Education Education, B.A. (with K-8 Certification) Electrical Engineering, B.S. English, B.A. Environmental Science, B.S. Finance Fine Arts History Human Development, B.A. Humanities, B.A. Management & Operations Management Information Systems Mechanical Engineering, B.S. Marketing Nursing, B.S. (RN-BSN) Personnel Pscyhology and Human Resource Management Political Science Pre-Health Studies Pre-Law Studies Pre-Med Studies Professional Writing Psychology, B.S. Public Affairs, B.A. Social & Environmental Justice Social Sciences, B.A. Sociology Women's Studies (optional)

Most Recent High School Attended:

Date/Year of High School Graduation:

GPA

All other universities/colleges attended:

1 (optional)

2 (optional)

3 (optional)

Special Tour Session

For those unavailable to attend one of our regularly scheduled tour sessions, special tour requests are available.

We will try to accommodate your proposed date and time but final selection will depend upon Ambassador availability. An Ambassador will follow up with you regarding your tour.

We do not provide tours on weekends although there are Preview Days each semester opportunities for this.

Choose a date (weekday): Choose a time: 10:00 a.m. 11:00 a.m. 12:00 p.m. 1:00 p.m. 2:00 p.m. 3:00 p.m. 4:00 p.m.

Please specify any accommodations needed (optional):

Group Visit (optional):

Yes, I would like to request a group visit. If yes, how many in your group?

Financial Aid & Scholarships Workshop (optional):

I will attend the following session:

Tuesday, November 10 at 6:00 pm in Student Services Center Room 101 Wednesday, November 18 at 7:00 pm in Administration Building Room 110 Tuesday, December 8 at 6:00 pm in Administration Building Room 110

I would like to schedule an undergraduate admissions appointment (optional):

Before my tour
After my tour
Either before or after my tour
N/A

Note: it is recommended that you bring a copy of official or unofficial transcripts to your Admissions appointment.

Ethnic Origin (optional):

Not Indicated
Asian American
Black
Hispanic
White
Nat Hawaiian/Other Pacific Islndrs
Two or more races

How did you hear about us? (optional):

No answer WSU Pullman Web site Search engine (which one?): Direct mail Recruitment event: Billboard Theatre ad Newspaper High school counselor Friend or relative WSU Vancouver alumnus Other (please specify):