Submit Pre-Orientation Program Application

Basic Information

Full Name

	First	Middle	Last
Legal name*
Preferred name*

Student ID: *

Your Washington University Student ID. If you do not have one, please enter "000000".

Birthdate

month: *

day: *

year: *

Gender: *

Male

Female

Transgender

Home Phone: *

Enter your home phone without punctuation (e.g. 3145551212).

Cell Phone: *

Enter your cell phone without punctuation (e.g. 3145551212).

Summer Address

Enter your summer address. If your country is not listed below, leave the defaults for state and country and enter your city/country in the other field.

Address: *

Address continued:

Apt/suite number:

City: *

State: *

ZIP: *

Country: *

Other:

Email Address: *

Make sure this e-mail account is checked frequently, as this is how notification of acceptance into a program will be sent.

Confirm Email Address: *

Please re-enter your email address.

I do not have consistent e-mail access and would appreciate additional notification by US mail.

School(s) You Will Attend: *

Select all that apply.

T-Shirt Size: *

Do you have special dietary needs?: *

Yes

Please explain:

Do you have any allergies?: *

Yes

Please explain:

Will you need any special accommodations?: *

Yes

Please explain:

List any relevant high school activities:

Program Choice

Programs not listed below are at capacity.

Please indicate your first choice program: *

For more information about the programs including dates and price, see the pre-orientation page.

**Wilderness Project Participants should anticipate carrying a 30-40lb pack for 8-10miles per day during the length of the program.

If my first choice is full, please: *

Copyright

WUSTL Home | Admissions | Orientation | Students | Parents

Convocation

Submit Pre-Orientation Program Application

Copyright