Office of Undergraduate Admissions

First Name*
Last Name*
Middle Initial
Previous Name(s)
Birthdate
Ethnicity African American/Black (2) American Indian/Alaskan Native (3) Asian/Pacific Islander (4) Cambodian, Laotian, Vietnamese (6) Caucasian/White (1) Hispanic (5) Other (6)
Gender* Male Female
Applied to UWO?* No Yes
Been Admitted? No Yes
Entering UWO as a Freshman Transfer
Attended a UW school? No Yes
Semester Applying* Fall Spring Summer 2007 2008 2009 2010 2011 2012 2013 2014 2015
UWO ID, if known

Home Address*
City*
State* Wisconsin Outside the US or Canada Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wyoming
County*
Zip/Postal code*
Mailing address, if different from Home address

Mailing Address
City
State Wisconsin Outside the US or Canada Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wyoming
County
Zip/Postal code

Email*
Telephone*

High School Name*
City*
Graduation Date*

First Choice* Business ---- Elementary Education Special Education Elementary Ed.-Lic. Only Secondary Education Secondary Ed.-Lic. Only Special Ed.-Elem. Ed. Special Ed.-Lic. Only Human Services --- Anthropology Art Athletic Training Biology Chemistry Communication Computer Science Criminal Justice Economics English French German Spanish Fine Arts Geography Geology History International Studies Journalism Liberal Studies Mathematics Medical Technology Microbiology Music Physical Education Physics Political Science Psychology Radio/TV/Film Religious Studies Social Work Sociology Urban & Regional Studies ---- Undeclared ---- Nursing (Basic) Nursing (Collaborative) ---- Pre-Professional
Second Choice Business ---- Elementary Education Special Education Elementary Ed.-Lic. Only Secondary Education Secondary Ed.-Lic. Only Special Ed.-Elem. Ed. Special Ed.-Lic. Only Human Services --- Anthropology Art Athletic Training Biology Chemistry Communication Computer Science Criminal Justice Economics English French German Spanish Fine Arts Geography Geology History International Studies Journalism Liberal Studies Mathematics Medical Technology Microbiology Music Physical Education Physics Political Science Psychology Radio/TV/Film Religious Studies Social Work Sociology Urban & Regional Studies ---- Undeclared ---- Nursing (Basic) Nursing (Collaborative) ---- Pre-Professional
Third Choice Business ---- Elementary Education Special Education Elementary Ed.-Lic. Only Secondary Education Secondary Ed.-Lic. Only Special Ed.-Elem. Ed. Special Ed.-Lic. Only Human Services --- Anthropology Art Athletic Training Biology Chemistry Communication Computer Science Criminal Justice Economics English French German Spanish Fine Arts Geography Geology History International Studies Journalism Liberal Studies Mathematics Medical Technology Microbiology Music Physical Education Physics Political Science Psychology Radio/TV/Film Religious Studies Social Work Sociology Urban & Regional Studies ---- Undeclared ---- Nursing (Basic) Nursing (Collaborative) ---- Pre-Professional

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