Request Information Form

photo of students walking in to the student union

Contact Information

First name Required

Last name Required

Address Required

City Required

State Required

Zip/Postal Code Required

Email Required

Phone number Required

Demographic Information

Birthday Required

Month

Day

Year

Are you currently or have you ever served in the U.S. Armed Forces?

Yes

Academic Information

I am a... Required

Transfer student with less than 30 semester/45 quarter hours

Transfer student with between 30 semester/45 quarter hours and 60 semester/90 quarter hours

Transfer student with more than 60 semester/90 quarter hours

High school student with college credit

Other...

I am a... Other...

Current or most recent college/university attended Required

Which Wright Path-affiliated community college are you/will you be attending? Required

GPA

Major Interest

Which term do you plan to start at Wright State? Required

Leave this field blank

Wright Path Program