Personal Information

First Name Last Name WSC Student Number Mailing Address City State Zip Code Home Phone Alternate Phone (Optional) Email Address I am Classified as a:

Resident
Non-Resident

School Information

High School/College Attending Cumulative Grade Point Average ACT/SAT Intended Major

High School/College Activities

List activities (clubs, sports, music, drama, etc.) with which you have been involved. Include offices held and responsibilities accepted.

Other Activities

Examples: community organizations, church, etc.

List special honors and awards you have received