BIOGRAPHICAL INFORMATION

First Name

Last Name

Alternate Last Names

Birthdate

Email Address

Cell Phone

Sex Assigned at Birth

Gender Identity

Mailing Address

Country

Street

City

Region

Postal Code

Primary Citizenship

What visa status do you currently hold?

EDUCATIONAL HISTORY

Please add your high school information.

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High School
Name of High School High School CEEB Code (hidden) High School Graduation Year School Level (Hidden)

Add High School

Please list all colleges or universities you have attended or are now attending. List them in order of most recent to oldest.

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College
Name of School (List current or most recent school first) School CEEB Code (hidden) Date Attended From Date Attended From Date Attended To Date Attended To Number of credit hours completed Degree Earned School Level (Hidden)

Add College

Are you Hispanic or Latino?

Please select one or more of the following races:

Notice of Participation

By signing this application, I am indicating my intention to participate in the course at Wichita State University (WSU) and WSU College of Liberal Arts and Sciences. I understand that:

This Intent to Participate form does not include any program or major;
The information given on this application is complete and accurate, to the best of my knowledge;
I am subject to the same admission, matriculation, disciplinary and requirements governing all other WSU students.

Course Information: Completion and submission of this form constitutes a request for non-degree admission to WSU as well as a request to enroll in LASI 103 in the Spring 2025 term. Once you have been admitted as a non-degree WSU student and the Registrar has completed your enrollment in this course, you’ll receive an email from the College of Liberal Arts and Sciences with confirmation of enrollment as well as directions for how to pay online, course information, and other details. Any student who doesn’t have an email address must attend a pre-course organizational meeting on Monday, March 10, 2025 at 5:30pm on the WSU Old Town Campus at 213 N. Mead in room C117 to get payment instructions and next steps.

Any questions? Please contact susan.castro@wichita.edu

Acknowledgement and Signature

By seeking admission and enrolling (choosing to complete the request for enrollment), I acknowledge that I am obligated to pay as I understand that I am registering for a class or classes at Wichita State University - which is a legal obligation. I acknowledge that I am financially responsible to pay all tuition and fees associated with registration at Wichita State University.

Signature: Please sign (type) your name indicating that you understand the above.

Open Admission major (Hidden)

Application major Open Admission (hidden)

LASI 103 Admissions Application

BIOGRAPHICAL INFORMATION

EDUCATIONAL HISTORY

Please add your high school information.

KANSAS RESIDENCY

ETHNICITY (optional)