UW-Waukesha Information Request

First Name*

Middle Initial

Last Name*

Address*

City*

State

Zip Code*

Phone*

E-mail Date of Birth (MM/DD/YY)*

* Required

High School Attended

Graduation Date

Intended Major

Employer

Employer Address

Employer Phone

Please send information on the items I have checked:

Information Packets
	Recent High School Grads (Aged 18-21)
	Adult Student (22 and older)
	Youth Options/High School Special Students
	Services for Students with Disabilities
Applications
	UW-System Undergraduate Application
	International Student Application
Course Schedules
	Fall Timetable (credit courses)
	Spring Timetable (credit courses)
	Summer Timetable (credit courses)
	Continuing Education (non-credit courses)
Other Information
	Scholarships
	Financial Aid
	Study Center & TRIO Program
	On-Campus Student Employment
	UW-Milwaukee Collaborative Degrees

Comments/Special Requests/Other