Need Information
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First Name
Last Name
Address
City
State
Zip
Country
Home Phone
Date of Birth
Email
Which of the following best describes you?
High School Freshman/Sophomore
High School Junior
High School Senior
HS Graduate - no college experience
Transfer Student
Prospective Adult Education Student
Prospective Graduate Student
Other
Year of High School Graduation
Name of High School
If transfer student, name of last college attended
Which of the following are you considering
Undergraduate Studies
Undergraduate Studies as a Transfer Student
Adult Education
Graduate Studies
Semester you wish to begin at Concordia University Wisconsin
Fall 2007
Spring 2008
Fall 2008
Spring 2009
Fall 2009
Spring 2010
Fall 2011
Spring 2011
Which of the following would you like sent to you? (check all that apply)
Application for admission and financial aid
CUW Viewbook
CUW Catalog
Housing Information
Music Information
Athletic Information
Would you like more information on a specific major or program?
If so, please select the major or program you are interested in:
Accounting
Adult Ed - Management and Communication
Adult Ed - Liberal Arts
Adult Ed - Criminal Justice
Adult Ed - Certificate in Human Resource Management
Art
Art Education
Athletic Training
Biblical Languages
Biology
Business
Computer Science
Early Childhood Education
Economics
Economics Finance
Elementary Education
English
Exercise Leadership
Exercise Physiology
Finance
Graduate Teacher Certification - Elementary
Graduate Teacher Certification - Secondary
Graduate Teacher Certification - Alternative
Graphic Design
History
Humanities
Individualized
International Business
Interior Design
Justice & Public Policy
Management
Marketing
Mass Communication
Mathematics
Missions
Music
Music Education
Nursing
Organizational communication
Parish Music
Pastoral Ministry
Physical Education
Pre-Med
Pre-Occupational Therapy
Pre-Physical Therapy
Psychology
Radiologic Technology
Secondary Education
Social Work
Spanish
Speech Communication
Telecasting
Theological Languages
Theology
Which factor will be the most important in your choice of a college or university?
Cost
Location
Value System
Programs/Majors
Campus Life
Reputation
Other
How did you learn about CUW? (Please select up to three)
Guidance Counselor
Teacher
Church
Friend
Family Member
Referral
Concordia System
I am an alumnus or current student
Reference book
Gradschools.com
Newspaper
Magazine
Peterson's Guide
Phone Book
Radio
Reputation
TV
Internet
Direct Mail
Other
Comments
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