Contact Card

Coronavirus Updates

For information, go to wichita.edu/covid.

We're excited to connect with you! Tell us about yourself.

If you see this don't fill out this input box.

Which fair or visit did you attend? *

About You

First Name*

Middle Name*

Last Name*

Mailing Address*

City*

State*

Zip*

Student Email Address*

Confirm Student Email Address*

Parent Email Address*

Confirm Parent Email Address*

Home Phone*xxx-xxx-xxxx

Cell Phonexxx-xxx-xxxx

Date of Birth*mm/dd/yyyy

Name of High School*

High School Graduation Year*

Please list all previous colleges attended.*Separate each with a comma.

I am ...*

Male

Female

Prefer not to answer

Ethnicity (optional)

Asian

Hispanic or Latino

American Indian or Alaskan Native

Black or African-American

Native Hawaiian or other Pacific Islander

White

Other

Please check all that apply.

Primary Academic Interest*

Secondary Academic Interest*

Please list any extracurricular activities:*

When did you interact with the Office of Admissions? *

At a visit

At a college fair

At an event

Through a virtual event

Other

Please check any of the following that apply to you:

My parent / guardian is a WSU employee

I am a first generation student

I am a Military / Veteran dependent

Are you an International Baccalaureate (IB) student? *

Yes

Are you a National Merit or National Hispanic Recognition semi-finalist? *

Yes

Did your parent, legal guardian, step-parent, grandparent or step-grandparent graduate from WSU with an associate, bachelor, master or doctoral degree? *

Yes