International Badge Application

Important Note: If we have information about you in our database, some of the fields below may have been filled in for you. Please check each field carefully and make any needed corrections before submitting this form.

Family Name:*

Given Name(s):*

Middle Name:

Date of Birth:*
(Must be 17 years old or older to apply)

Gender:*

Personal Email Address:*

Secondary Email:

Country of Citizenship:*

Secondary Country of Citizenship:

Complete Mailing Address:*

Country

Street

City

Region

Postal Code

Which of the following best describes your occupation or the industry you work in?*

Agency Name or Partner University (if applicable):

Have you taken classes at Wichita State University before?*

myWSU ID:

***IMPORTANT INFORMATION ABOUT OUR BADGE CLASSES***

More than 30 classes to choose from.
Read our badge catalog to learn more about classes you might be interested in taking.
Nearly all classes are free with the exception of two classes.
IMPORTANT: If your desired class is not available to select from the list below, that means there are no more seats available for that class.

Desired Badge Class:*

.
THIS CLASS IS FULL. PLEASE SELECT A DIFFERENT CLASS.

.
(Cost: $35)

.
(Cost: FREE)

Select an alternate badge class below in case your desired class is full*

.
THIS CLASS IS FULL. PLEASE SELECT A DIFFERENT CLASS.

(Cost: $35)

(Cost: FREE)

By signing your name in the signature field below, you affirm that the application you have completed is your own work and the information is factually true.*

Click to Sign...

Major

IE Primary Source