Shocker Pathway Intent

Biographical Information

First Name

Last Name

Alternate Last Names

Birthdate

Email Address

Cell Phone

Sex Assigned at Birth

Mailing Address

Country

Street

City

Region

Postal Code

Primary Citizenship

What visa status do you currently hold?

WSU Tech Student ID

WSU Tech Entry Term

What is your intended academic interest at Wichita State?

Anticipated Semester/Year of Entry to Wichita State
(Ex. Fall 2022, Spring 2023)

Do you intend to seek a Bachelor's Degree from Wichita State?

Yes

High School Graduation Year

Ethnicity (Optional)

If you wish to be identified with a particular ethnic group, please select the choice that most accurately describes your heritage. No information you provide will be used in a discriminatory manner.

Are you Hispanic or Latino?

Please select one or more of the following races:

Kansas Residency

Are you a resident of the state of Kansas?

Yes

Have you lived in Kansas since birth?

Yes

When did you begin living continuously in Kansas?

If you relocated to Kansas, from which state/province did you move?

Have you previously lived in Kansas?

Yes

Start Date

End Month

Last year, did anyone claim you as a dependent for income tax purposes?

Yes

Is either of your parents or your guardian a Kansas resident?

Yes

How long has he or she been a Kansas resident?

Years

Months

Need more information about the Shocker Pathway program?

https://wsutech.edu/shockerpathway/

Generate PIN (Hidden)

Yes

App Submitted (Hidden)

Yes

Always Create App (Hidden)

Yes

Std-Type Transfer (Hidden)

App Round Always Create (Hidden)

Associate's Degree Add (Hidden)

Application major AA (hidden)

Shocker Pathway (Yes, Hidden)

Yes

Add WSU Tech as school (hidden)