Mr. Mrs. Ms. Dr.
First Name:Last Name:
City: State: Zip Code:
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:
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.