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OFFICE OF ACADEMIC AFFAIRS

Dual Advising Form

Please complete the form and click "SUBMIT"


YOUR CONTACT INFORMATION

First Name:

Middle Initial:

Last Name:

Birthdate (MM/DD/YYYY):

Street Address:

City:

State (two-letter postal abbreviation):

ZIP Code:

Your E-mail Address:

Daytime Phone (xxx-xxx-xxxx):

Evening Phone (xxx-xxx-xxx):

Two-Year College you are currently attending:


YOUR TWO-YEAR COLLEGE ADVISOR'S INFORMATION

Advisor Name:

Advisor Address:

Advisor Phone (xxx-xxx-xxxx):

Advisor Email Address:

 


YOUR EDUCATIONAL PLANS

Desired Degree/Major at WSU:

Minor (If Applicable):

Anticipated Transfer Date to WSU:

Have either of your parents graduated from a four-year college?
Yes
No
I don't know