Dual Advising Form

YOUR CONTACT INFORMATION

First name:

Middle name:

Last name:

Birthdate (xx/xx/xx):

Street address:

City:

State (two-letter postal abbreviation):

ZIP code:

Your E-mail Address:

Daytime phone (xxx-xxx-xxxx):

Evening phone (xxx-xxx-xxxx):

Two-year college you are currently attending:

YOUR ADVISOR'S INFORMATION

Advisor name:

Advisor address:

Advisor phone (xxx-xxx-xxxx):

Advisor email address:

YOUR EDUCATIONAL PLANS

Degree/major goal 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