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Academic Advantage Program Registration

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Student Information

First Name *

Last Name *

Mailing Address *

City *

State

Zip

Birthday

Month

Day

Year

Gender

Telephone Number *

WSU Email Address *

Note: Email confirmations will be sent to this Wright State email address

High School *

Year of Graduation *

Intended Major *

University ID *

High School Math

The following information will help us determine which math section to place you in for the program. Please input courses taken during your junior and senior years with the final grades you received. If final grade is not known, please leave it blank.

Junior Year

Course

Grade

Senior Year

Course

Grade

Course

Grade

Course

Grade

Emergency Contact Information

Contact #2

First and Last Name *

Relationship *

Daytime Telephone *

Evening Telephone *

Contact #1

First and Last Name *

Relationship *

Daytime Telephone *

Evening Telephone *

Housing Options

No housing needed -- You do not need housing. You will commute to classes during the week of Academic Advantage and/or make other housing arrangements. Cost: $175 (includes program cost)

On-campus/dorm -- You will be living on campus during Fall Semester and would like to move into your permanent room assignment on Sunday, August 19, 2012. Cost: $275 (includes program cost)

Note: We cannot provide temporary housing during AAP. You must be living on campus for fall Semester to live on campus during AAP.

Payment

The cost of the Academic Advantage Program will be placed on your Wright State bill.

Deadline for registration is August 10, 2012