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UNDERGRADUATE ADMISSIONS

Future Shocker Camp

Join us as we explore all Wichita State has to offer! This one-day camp is exclusively for middle school students who are interested in learning more about WSU. Activities will focus on preparing for college, student involvement opportunities and career choices. Students will get a behind-the-scenes look at a WSU athletic facility, participate in a class, explore the campus and hear from current WSU students.

Cost is $10 and includes program materials, lunch and snacks. To be eligible, students must be entering grades 6-8 in the fall with at least a 2.00 GPA.

8:30 a.m. to 5 p.m.
Check-in from 8 to 8:30 a.m. at the Marcus Welcome Center
Wednesday, July 9, 2014

If you have any questions or need more information, call the Office of Admissions at (316) 978-3085.

Please fill out the form below as completely and accurately as possible. Note: Your registration is not complete without payment. Cost is $10 per student, payable online after submitting this form.


Student Information

First Name:

Last Name:

Street Address:

City:

State:

Zip:

Birth Date (mm/dd/yyyy):

Home Phone xxx-xxx-xxxx:

Cell Phone xxx-xxx-xxxx:

Middle School:

Grade level for the 2014-2015 Academic Year

6
7
8

How did you hear about this program?

Do you require any special arrangements or services?


Parent/Guardian Information

First Name:

Last Name:

Street Address (if different from student's):

City:

State:

Zip:

Email Address:

Confirm Email Address:

Preferred Phone Number (xxx) xxx-xxxx:

Phone type:

Work
Home
Cell


Payment Information

Will you be paying the $10 fee with a credit/debit card?

Yes
No

If yes, please indicate the cardholder name so we can easily match students to their payment data:

Will you be paying for any other students? Please note that each student will need to fill out his/her own RSVP form.

Yes
No

If yes, what are the names of the other students?


ATTENTION

After submitting this form, a confirmation page and payment information will appear. Please print the confirmation page and keep it for your records. Note: your registration is not complete without payment.