Admission's Information Request, UW-Eau Claire

Information Request Form

Please enter all information below and click the SUBMIT button.

E-Mail address:   
First Name:    Middle Name:    
Last Name: 
Social Security Number:        Birthdate:    
Address 1:  
Address 2:  
Address 3:  
Address 4:  
City:       
State:       Zip:  Country: 
Phone Number: 
Gender:Male     Female

Racial/Ethnic Heritage:African American/Black  American Indian or Alaska Native 
Asian   Hispanic/Latino White

High School Name:     Year of H.S. Graduation:

I would like to receive information on the following:
(Check all that apply; also indicate if you are a graduate or undergraduate candidate)

Undergraduate    Graduate

  General Information
  Transfer Information
  Financial Aid

Enter any comments or special requests:

Please note: A confirmation will be sent upon receipt of your message. If you do not receive a confirmation, please resend your request. If you need additional information about the University of Wisconsin System, please check out the UW Help On-Line. If you need to look at an Undergraduate Catalogue, please check out the Registrar's Undergraduate Catalogue.

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Questions and comments about this website can be directed to: admissions@uwec.edu.
Updated: September 13, 2007