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Illinois Wesleyan University

Information Request Form

Please fill out this form as completely as possible in order for us to provide you with the information you have requested.

* Fields are required.

*  First Name:
Middle Initial:
* Last Name:
Preferred Name:
 Gender:

 Male           Female

Phone:
Street:
City:
State:
Zip/Postal Code:
* Email Address:
  U.S. Citizen or hold   Permanent   U.S   Resident Visa:
Yes     No

If no, please indicate country
 

High School:
Year of Graduation:
Class Rank:
Class Size:
ACT Composite:
SAT I Verbal:
SAT I Math:
GPA:
On a Scale of:

Transfer Student:
Yes  No

Please indicate if you are transferring from another college or University

and provide name of the school below.

Please indicate if you'd like to receive information on any of the following :

 
Application Financial Aid/ Scholarships Campus Visit

Athletics

Please indicate the sport you are interested in if Athletics is checked:

 
Fields of     Study:   

    ( First Choice )

    ( Second Choice )


    ( Third Choice )
If you have an interest in music please list primary instrument :

  I would like an IWU admission staff member to contact me !

     

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