ADMISSION INQUIRY

Please complete this form to add your name to our mailing list.

PERSONAL INFORMATION

First Name (legal):
Full Middle Name:
Last Name (family):
Social Security Number:
Sex:
Birthdate: (MM/DD/YYYY)
Personal Email Address:
When are you planning on attending:

ETHNIC BACKGROUND (Optional - Check all that apply.)

Are you Hispanic or Latino (H)?
   
Which best describes your background?
Regardless of your answer to the prior question, please check one or more of the following groups in which you consider yourself to be a member:
Which best describes your background?
Which best describes your background?
Which best describes your background?
Which best describes your background?
Which best describes your background?

PERMANENT HOME ADDRESS

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BOARDING SCHOOL ADDRESS (Please do not enter your public school address here.)

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ACADEMIC INTERESTS

What Areas of Wesleyan Interest You Most?