APPLICATION INFORMATION

Arrival Term*

Last Name/Family Name/Surname*

First Name/Given Name*

Middle Name (if any)

Birthdate*

Legal Sex (as on passport)

Gender Identity

Mailing Address*

Country

Street

City

Region

Postal Code

Permanent Address*

Country

Street

City

Region

Postal Code

Phone Number*

Email*

Secondary Email

City of Birth*

Country of Birth*

Country of Citizenship*

Country of Legal Residence

Are you Currently in the U.S.?*

Yes

What type of visa do you have?

Country of Legal Address

IMPORTANT: If you already have a passport please list your information below. PLEASE NOTE: The name listed on this application should EXACTLY match the name on your passport. If you do not have a passport you must complete your name above as it will likely appear in your passport.

Passport Number

Country of Issue

Do you wish to authorize anyone to inquire about the status of your application?

Yes

What is the person's last/family name?

What is the person's first/given name?

How did you hear about WSU?

Will you be bringing any dependents with you?*

Yes

EDUCATIONAL HISTORY

Please include your current school information below.

Name of School (List Current School)*

City and Country:

Major (Career)

Diploma or Certificated Received or To Be Awarded(example: Bachelor's Degree)*

Anticipated Graduation Date:

APPLICANT SIGNATURE

I certify that all of the information included on my application for admission is true and complete. I understand that I will be required to have a tuberculin (TB) test after my arrival at the University. I also hereby give my consent to Wichita State University to make my attendance and grade reports available to my parents or my financial sponsor.*

Yes

I understand that all transcripts and application materials that I submit become the property of Wichita State University and will be destroyed after they are scanned into the University's computer system.*

Yes

I understand that I am applying for guest admission. If I choose to apply for a degree at Wichita State University, I will need to submit updated transcripts and financial documents at a later time.*

Yes

By typing 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.*

Date*

Major

Paraguayan BECAL Mobility Scholarship Students

APPLICATION INFORMATION

EDUCATIONAL HISTORY

APPLICANT SIGNATURE