Wayne College - Request Information

REQUEST INFORMATION

Choosing the college that's right for you is a big step. Many factors will influence your decision. At The University of Akron Wayne College, we want to help you get the information you need to make the right choices. Fill out our convenient e-mail form, or call Student Services & Support locally 330-684-8900, or 1-800-221-8308, extension 8900.

*Required Field

Have you applied to:
The University of Akron or Wayne College?*
Yes No

Would you also like Financial Aid information?*
Yes No

Full Name*
First Name: MI:
Last Name:

Gender
Male Female

Date of Birth*
Month: Day: Year: 19

Race/Ethnicity

Citizenship*
United States citizen
Citizen of another country:

Email Address
Home Email:
Work Email:

Phone* (Choose at least one)
Home:
  Cellular:
  Work:

Mailing Address*
  Address:
  City: State: Zip:
  County (If in Ohio):

When are you planning on attending Wayne College?*
Year: 20 Term:

Current Status
   New Freshmen - You are currently attending high school or earlier
                                    primary education, including PSEOP students.
    PSEOP - You are currently in high school and want to attend
                       under the PSEOP option.
   Transfer - 1. You are currently attending another college or university,
                             and are planning to transfer to Wayne College.
                         2. You have attended another college in the past.
   Adult - You are not currently attending high school or have
                     not attended another college or university.
   Guest/Transient - You are currently enrolled at another institution and
                                   wish to attend under guest status.

I am thinking of pursuing:
Associate's degree Bachelor's degree Certificate Program

Majoring in:

Last school attended

High School Graduation Date
Month: Day: Year:

Military Duty - Are you currently on active military duty or a veteran?
Yes No

Special Interest (Check all that apply)

   Basketball
   Volleyball
   Spirit Team
   Golf
   Baseball
   Softball

   Student Senate
   Student Literary Magazine
   Student Newspaper
   Honors Program
   Business Professionals of America

Any family members who have attended or graduated from
The University of Akron Wayne College?
Father Mother Sibling None

Questions & Comments

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Validation Characters: 2452

Wayne College 1-800-221-8308 or 330-683-2010

1901 Smucker Road, Orrville, OH 44667 • FAX (330) 684-8989
The University of Akron is an Equal Education and Employment Institution
This page is maintained by WayneWebEditor@uakron.edu