Student Affairs

Information Request Form

Name: First, Middle Inital, Last

Address:

City:

State:

Zip Code:

Home Phone:
( )

Work/Cell Phone:
( )

E-mail:

	Select top two choices
	Business Administration, B.A. Such as Accounting, Accounting and Information Systems, Business Administration, Management and Operations
	Computer Science, B.A.
	Computer Science, B.S.
	Digital Technology & Culture, B.A.
	Educational Certifical Programs Principal and Administration Certification Secondary Certification Professional Certification
	Electrical Engineering, B.S.
	Elementary Education, B.A.
	Environmental Science, B.S.
	English, B.A.
	History, B.S.
	Horticulture, B.S. - emphasis in Viticulture & Enology
	Humanities, B.A. - such as Fine Arts
	Mechanical Engineering, B.S.
	Nursing, B.S.N.
	Nursing, R.N. to B.S.N.
	Psychology, B.S.
	Sciences, B.S. - such as Biological Sciences, Mathematics, Physical Sciences
	Social Science, B.A. - such as Anthropology, Criminal Justice, Human Resources/Personnel, Psychology, Sociology
	Undecided

Freshman Transfer Student

Other:

HIgh School College

Name:

If High School Running Start Yes No

My high school graduation year is:

When did you take the SAT/ACT? Date:

Have not taken yet

How did you hear about Washington State University Tri-Cities?

Any Questions:

Contact us: Admiss@tricity.wsu.edu (509) 372-7250
Washington State University Tri-Cities, 2710 University Drive, Richland, WA 99354-1671 USA