Engineering Technology

Program Information Request Form

Mr. Mrs. Ms. Dr.

First Name:Last Name:

Address:

City: State: Zip Code:

Phone Number:

Date of Birth (DOB):

Current Student: Yes No

If yes, which high school or college?

Current GPA (optional): 

Have you taken the ACT? Yes No

ACT score (optional):

Briefly describe your interest in WSU's Bachelor of Science in Engineering Technology program (optional):

How did you hear about the Bachelor of Science in Engineering Technology program?

School    Publication   Internet     WSU's Website    Recruiter    Career Fair

Other (please describe):

Your E-mail Address: 

Thank you!

You should receive your information packet within seven business days. We appreciate your interest in Wichita State's Engineering Technology program and we look forward to having you as a future Engineering Technology student.