First Name
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Middle Intial
Last Name
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WCU ID
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Email Address
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Referred by
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Charlie Warner
Other
If Other, please provide name here
Address
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Apt #
City
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State
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Zip Code
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Phone Number (XXX-XXX-XXXX)
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Birthday (MM-DD-YYYY)
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Gender
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Male
Female
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Class Standing
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Freshman
Sophomore
Junior
Senior
Major
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Minor
Anticipated Graduation Date (MM/YYYY)
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Other Colleges Attended
Have you participated in any of the following? (Check all that apply)
Co-Curricular Portfolio (CCP)
1st Year Student Retreat at Camp Saginaw
Executive Leadership Series(ELS)
Future Greek Leaders
Leadership Experience (Takes place every Spring)
Peer Mentor for Advance Development Program
Peer Mentor for the Office of Multicultural Affairs
Resident Assistant
Student Recruiter for the Office of Multicultural Affairs
University Ambassador
List clubs / student orgs you have been involved in since your freshman at WCU. (Ex: SGA-Member-Spring 07, OCCA-President-Fall 2007 thur Spring 2008)
List your volunteer activities. Include location name, semester and year, and # of hours completed. (Ex: Relay for Life-Spring 2008-8 hours)
List Contemporary Issues programs you have attended since your freshmen year (Ex programs: Jerry Springer-Spring 2008, Can I Kiss You-Fall 2007).
List any other involvement activities since 1st year at WCU.
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