Request Information

Have you applied to: The University of Akron or Wayne College? * Yes No

Would you also like Financial Aid information? * Yes No

Personal Information Full Name First Name: * MI:
Last Name: * Gender: Male Female Date of Birth: * Race/Ethnicity: Citizenship: * United States citizen
Citizen of another country: Email address Home Email:
Work Email:

Phone: * (Choose at least one) Home Phone:
Cellular Phone:
Work Phone:

Mailing Address Address: *
City: * State: * Zip: *
County: (If in Ohio)

When are you planning on attending Wayne College? * Year 20 Term:

Current Status * New Freshmen - You are currently attending high school or earlier primary education, including College Credit Plus students.
College Credit Plus - You are currently in high school and want to attend under the College Credit Plus option.
Transfer - 1. You are currently attending another college or university, and are planning to transfer to Wayne College.
2. You have attended another college in the past.
Adult - You are not currently attending high school or have not attended another college or university.
Guest/Transient - You are currently enrolled at another institution and wish to attend under guest status.

I am thinking of pursuing: Associate's degree Bachelor's degree Certificate Program

Majoring in:

Last school attended:

High School Graduation Date:

Military Duty - Are you currently on active military duty or a veteran? Yes No

Special Interest (check all that apply)

   Basketball
   Volleyball
   Spirit Team
   Golf
   Baseball
   Softball

   Student Senate
   Student Literary Magazine
   Student Newspaper
   Honors Program
   Business Professionals of America

Any family members who have attended or graduated from The University of Akron Wayne College? Father Mother Sibling None

Questions & Comments

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