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please tell us a little about yourself and your interests so we can tell you about the opportunities Wilkes might hold! Note that all bolded items are required.

General information

Your First Name Your Last Name
Street Address
City
State
ZIP Country
Your Phone Number
Your Parent(s) or Guardian(s)
Your E-mail Address

Academic Information

Your High School    Your Graduation Year

Your Intended Major...

Accounting Applied & Engineering Sciences Biochemistry Biology Business Administration Chemistry Clinical Laboratory Sciences Communications Computer Information Systems Computer Science Criminology e-Business Early Childhood Education Earth & Environmental Science Education Electrical Engineering Elementary Education Engineering Engineering Management English Environmental Engineering History Integrative Media

International Studies Mathematics Mechanical Engineering Musical Theatre Nursing Occupational Therapy (pre) Optometry Other  Pharmacy Philosophy Physical Therapy Podiatry Political Science Pre-Law Pre-Medicine Pre-Pharmacy Pre-Veterinary Medicine Psychology Sociology Spanish Special Education Theatre Arts Undeclared

Your GPA          Your Class Rank   out of  

Your SAT scores Math     Verbal

Your Academic Honors...


Other school(s) to which you plan to apply...


Athletic Information...
Sport that interests you   Baseball Basketball, Women's Basketball, Men's Cross Country Field Hockey Football Golf Lacrosse Soccer, Women's Soccer, Men's Softball Tennis, Women's Tennis, Men's Volleyball Wrestling

Your Height feet    inches   Your Weight  pounds

Your Coach(es) Name(s)
School Phone(s)    Home Phone(s)  

E-mail Address(es)

Your Sport(s)/Position(s)...
   

Your Athletic Awards/Outstanding Performances...

Your questions or comments for us...