Fields marked with an asterisk(*) are required.
First Name*:
Middle Name:
Last Name*:
Email Address*:
Phone Number*: --Phone Type-- Home Cell Work
Mailing Address*:
City*:
State*: AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
Zip Code*:
Are you a U.S. Citizen?* Yes No
High School*:
High School Address*:
Name*:
Number*:
Phone Number*:
Expected Graduation Date (Month/Year)*: /
Extra-curricular Activities:
Awards & Achievements:
Student Leadership Involvement:
Community Involvement or Community Organizations (in which you are a member):
Did you complete the Wright State University Undergraduate Application for Admission?* Yes No
If yes, on what date was your application completed?
Please submit the names and email addresses of two individuals who can provide a reference for you:
Reference Name 1*:
Reference Email 1*:
Reference Name 2*:
Reference Email 2*:
Personal Statement* Please complete this statement thoughtfully and thoroughly. This statement is a very important part of the application process. Please write clearly, use complete sentences use appropriate grammar and appropriate paragraph length. (Minimum of 200 words, maximum of 400 words) In the space provided please: Tell us about yourself Describe your educational and career goals Describe the benefits of attending Wright State University Describe the benefits of being a member of the Independent Scholars Network Describe what you believe to be the skills necessary to be success in college. Describe any potential challenges you may face while in college and how you might overcome those challenges.
