Shocker Academy Fall 2025 Application
For juniors & seniors who are highly motivated with strong time management & organizational skills looking for an affordable introduction to higher education, Shocker Academy offers the perfect opportunity. Students will be put on a path to complete more than 30 general education courses, like English, College Algebra and others, all before graduating high school.

An opportunity provided by:

Fall 2025 classes include:

FYCM 102D	Cross Cultural Comms.	9:10 AM - 10:25 AM	TR
HIST 132	US Since 1865	7:40 AM - 8:55 AM	TR
PHIL 100	Intro to Philosophy	9:10 AM - 10:25 AM	TR
PSY 111	General Psychology	7:40 AM - 8:55 AM	MW
SPAN 104	Introductory Spanish	9:10 AM - 10:25 AM	MW
ART 100	Art Appreciation	7:40AM - 8:55AM	MW
MTH 112	College Algebra	9:10AM - 10:25AM	MW
ENG 101	Composition 1	7:40AM - 8:55AM	MW
MTH 108	Contemporary Math	9:10AM - 10:25AM	MW

CONTACT INFORMATION

First Name

Middle Name

Last Name

Other Last Name(s) USed on Record

Preferred First Name

Birthdate

Cell Phone

I give permission to Wichita State to send important information and deadlines via text messaging regarding admission, scholarships and events carefully selected for me. (Message and data rates may apply.)

Yes

No

Email Address

Sex Assigned at Birth

Social Security Number (optional, but highly encouraged for federal financial aid and tax credit purposes)

Mailing Address

Country

Street

City

Region

Postal Code

Is your permanent address the same as your mailing address?

Yes

No

Permanent Address

Country

Street

City

Region

Postal Code

CITIZENSHIP RESIDENCY

Country of Birth

Are you a U.S. citizen?

Yes

No

Country of Primary Citizenship

Do you hold Permanent Residence, Refugee, Asylee granted, or Parolee status?

Yes

No

Are you on a visa in the United States?

Yes

No

What visa status do you currently hold?

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

No

Have you lived in Kansas since birth?

Yes

No

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

No

Start Date

End Date

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

Yes

No

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

Yes

No

How long has he or she been a Kansas resident?

Years

Months

ACADEMICS

Name of High School

High School CEEB Code (hidden)

High School Graduation Year

PARENT/GUARDIAN INFORMATION

Parent/guardian permission is required for a high school guest student to take classes at WSU. Does the parent/guardian of the above listed student consent to that student’s enrollment?

Yes

No

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Email

Parent/Guardian Phone Number

You can give others (parents, employers, etc.) the ability to access your account information. In compliance with the Family Educational Rights and Privacy Act of 1974 (FERPA), your student financial records may not be shared with a third party without your written consent. Adding an authorized user is your written consent that an individual may view your account information and make payments on your behalf. Please note that authorized users DO NOT have access to your stored payment methods, academic records, or other personal information.

Would you like to authorize your parent/guardian as an authorized user to view/pay your bill for your high school guest course at Wichita State?

Yes

No

Email Address of Authorized User

NOTICE OF PARTICIPATION

By signing this application, I am indicating my intention to participate in the Wichita State University (WSU) and WSU Campus of Applied Sciences and Technology (WSU Tech) Shocker Academy (the “Program”). I understand and agree 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;

any failure to disclose fully and accurately all facts relating to this application shall be grounds for disciplinary action, up to and including suspension or expulsion from the Program;

I am subject to the same admission, matriculation, disciplinary and degree requirements governing all other WSU and WSU Tech students;

I agree to abide by all policies and procedures of WSU, WSU Tech, and the Program; and

I agree to be responsible for payment of all tuition, fees, books, supplies due to WSU and/or WSU Tech for my enrollment in the Program.

It is the policy of WSU and WSU Tech to maintain the confidentiality of academic records and to be in compliance with all federal and state laws, including but not limited the Family Educational Rights and Privacy Act (FERPA), governing the release of academic records. In accordance with these laws, neither WSU nor WSU Tech will permit access to, nor the release of, personally identifiable information contained in academic records to any party without the written consent of the student, unless otherwise allowed by law. Pursuant to 20 USC 1232g(b)(1)(B), an educational institution may disclose an education record of a student in attendance to another educational agency or institution if the student is enrolled in or receives services from the other agency or institution and the disclosing institution has met all disclosure requirements. Accordingly, by signing this form:

I authorize WSU to release to and share with WSU Tech all my admission, financial, academic, and advising information; and

I authorize WSU Tech to release to and share with WSU all my admission, financial, academic, and advising information.

WSU and WSU Tech admit students of any race, color, national origin, age, gender, disability, or sexual orientation to all rights, privileges, programs, and activities generally accorded or made available to students at these institutions.

This is an official publication. It is subject to change at any time, without notice. WSU and WSU Tech reserve the right to add, withdraw, or revise any course, program of study, provision, or requirement described herein, in its/their sole discretion.

I have read and understand the conditions set forth herein and agree to be bound by these conditions.

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