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Form to Request Application Materials
for use by
Overseas Agents and Counselors


This form is for any overseas agent or counselor who would like more information about Wichita State University to share with interested students. After we receive your request, we will send you undergraduate brochures and applications, Intensive English brochures and applications, postgraduate application materials, posters, campus maps, and much more. We will send your agency packet by airmail and you should receive the packet in about 3 to 6 weeks (depending on the city and country of destination). Please complete the form below to request application materials to be sent to you:

Have you requested application materials from Wichita State University in the past? Yes No I am not sure

Contact Name:

First Name Family Name
Gender: Male Female
Agency or Institute Name:
Branch Office: Yes No
Postal Mailing Address:
Line 1:
Line 2:
City:
Province/State :
Postal Code:
Country:
Telephone: (country code + city code + local number)
Fax: (country code + city code + local number)
E-mail Address:
Confirm E-mail Address:

Comments, Special Requests, or Suggestions:

This site is maintained by INTERNATIONAL EDUCATION. This page last modified on Monday, November 02, 2009 7:43:43 AM Central US Time. If you find errors please bring them to the attention of Vince Altum (international@wichita.edu).