Admissions

Art Open House Reservation Form

Use the secure form below to reserve a spot in our Art Open House on Wednesday, March 30, 2016.
In order for your information to be processed, all items in bold* are required.

 Your Personal Information

First

Middle

Last
Date of Birth


Number of Guests
 Your Contact Information

Home Street address
Additional address info
City
 State/Province
 		Zipcode/Mailcode
County



Home phone
(xxx)xxx-xxxx
Cell/Alternate phone
(xxx)xxx-xxxx
E-mail address


  
Your Background and Interests

Your High School/College Name

I am:
a Current High School Senior (not yet applied)
a Current High School Senior (applied)
a Current High School Junior
a Current High School Sophomore
a Current High School Freshman
a Transfer Student (not yet applied)
a Transfer Student (applied)
Other, please list:

Which term are you interested in applying for at WPUNJ? 


Which major are you most interested in?

How did you hear about our Art Open House?