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| First Name:* |
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| Last Name:* |
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| E-mail Address:* |
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| Repeat E-mail:* |
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| Mailing Address:* |
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| City:* |
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| State:* |
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| Postal/Zip Code:* |
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| Country: |
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If you are not a U.S. resident, please read this.
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| Home Phone:* |
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Ext.
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| Work Phone:* |
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Ext.
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What program are you most interested in?*
(This list includes ALL programs offered.) |
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What year did you graduate from high school? * | |
When do you plan to enroll? * | |
How much time per week do you intend to commit to your online education? * | |
How would you rate yourself as a self-directed learner? * | |
| If accepted by WGU, which types of financial support do you think you will need or plan to use? |
Federal financial aid, if qualified
Tuition assistance from my employer
Military tuition assistance for active-duty military
Veterans GI Bill benefits
Will use only my own financial resources
Not sure
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| Are you employed by one of these organizations? |
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| Where did you hear about us? |
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What are your concerns and questions? (enter comments in the field to the right) |
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I understand that by submitting this inquiry form, WGU will be contacting me by email and phone.
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