Inquiry Card- International Students
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1.
First/Given Name
*
2.
Family Name/Surname
*
3.
Gender
*
Male
Female
4.
Address
*
5.
City
*
6.
Country
*
7.
Postal Code
*
8.
U.S. Resident?
*
-- Please Select --
Yes
No
9.
Citizenship
*
10.
Mobile Phone (with country code)
*
11.
Home Phone (with country code)
*
12.
Email Address
13.
High School
*
14.
Graduation Year
*
-- Please Select --
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
15.
Transfer Students
Are you a tranfer student?
If so, what institution do you currently attend?
If so, what year do you expect to enroll at W&J?
*
16.
Academic Interests
17.
Extracurricular Interests
18.
Questions, Comments and/or Requests