Admissions


WPU at Mercer Open House Reservation form


Use the secure form below to reserve a spot at our upcoming Open House on Wednesday, March 6, 2013 from 5:30 - 7:30 pm.
In order for your information to be processed, all items in bold are required.

 
 Your Personal Information

First

Middle

Last

I am:
a Transfer Student (not yet applied)
a Transfer Student (applied)
Other, please list:

I am interested in beginning the WPU at Mercer program:

Date of Birth 


Number of Guests (including student)
 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 Academic Information

Your College Name 


Month and Year of College Graduation 


Your cumulative College GPA


Your Intended Major

How did you hear about our WPU at Mercer Open House?
Select our Open House