APPLICATION FOR NEW UNDERGRADUATE STUDENTS
Please complete the application using black ink. Please print neatly or type.
For office use
For U.S. citizens and permanent resident applicants only. Admission cannot be determined until admission application, $40 application fee, test scores and transcripts are received.
Section 1: Applicant Information 1
Social Security number (optional)
Date of birth
Your gender Male
4 Legal name Last First Middle
Other names and nicknames used on records (including maiden name)
Current residence Mailing address
Area code and home phone number
Email address where you’d like to receive WSU updates and enrollment information
Permanent residence Mailing address
Place of birth City
Please respond to the following questions related to your ethnicity and race. (Optional)
Yes No 9 Ethnicity: Are you Hispanic or Latino?
11 Are you a U.S. citizen? If yes, skip to section 2
10 What is your race? American Indian or Alaska Native
Native Hawaiian or other Pacific Islander
Black or African-American
12 Are you a permanent resident, asylee or refugee in the U.S.? 13 If not a permanent resident, asylee or refugee in the US, have you been If yes, enclose a photocopy of the front and back of your permanent approved for the Deferred Action for Childhood Arrivals (DACA)? resident, asylee or refugee card.
14 If you are not a citizen of the U.S., please list: Country of birth
Do you currently reside in the U.S. on a non-immigrant visa?
If yes, contact International Admissions at (316) 978-3232 or online at wichita.edu/international.
Country of citizenship
Section 2: Parent or Guardian Information 16 Parent or guardian (complete only if you are under 21) Name
Section 3: Kansas Residency Information
(All questions left blank will be considered evidence of a non-Kansas resident.)
17 Are you a resident of the state of Kansas? Yes No 18 If you relocated to Kansas, from where did you move?
If “yes,” when did you begin living continuously in Kansas?
If “no,” and you previously lived in Kansas, please state the period of time you lived in Kansas:
19 Last year, did anyone claim you as a dependent for income tax purposes?
If yes, please indicate name, relationship, city, and state.
20 Are either of your parents or guardians a Kansas resident?
If yes, how long?
Visit wichita.edu/admissions for more information or to apply online.
Published on Jul 22, 2014