Date

Name   WSU ID

Phone

Email   High School Graduation Year

Advanced Placement Classes Yes No

Please list AP Exams taken or to be taken, and scores if known

AP Exam / Score

Running Start Yes No

College Transfer Work Yes No

AA Direct Transfer Degree Yes No

Other Yes No

(If yes describe):

My intended area of study is
(Specify by department if possible. Please indicate if you are undecided.)

Other possible interest areas are

Careers that interest me are

WSU Tri-Cities was my (choose one): first choice second choice third choice

Please briefly describe below your interests and goals

What do you feel are your academic strengths and weaknesses?

Please comment on your expectations and goals regarding your college education.

List your outside activities and/or hobbies

Are you planning on enrolling in (check one):

3-6 credits (1-2 classes/semester) 9 credits (3 classes/semester) 12-15 credits (4-5 classes/semester)