apply.unwsp.edu
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https://apply.unwsp.edu/register/?id=6a5f2e39-a45a-440c-aad2-52ddaeba71ad
Submission: On February 09 via api from US — Scanned from DE
Submission: On February 09 via api from US — Scanned from DE
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<h1>Adult Undergraduate and Graduate Studies Information Session- virtual</h1>
<p id="register_date"><input id="form_date" type="hidden" value="2023-02-23T19:00:00"><span id="register_date_string">Thursday, February 23, 2023 at 7:00 PM until 8:00 PM</span><span
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<div id="form_description"> Our online information sessions are a great way to answer all of your questions about going back to school. During the event, you will meet your admission counselor, explore program requirements, learn more about
financial aid, and see how a degree can impact your career path.<br><br> REGISTER NOW FOR A CHANE TO WIN AN AMAZON GIFT CARD! </div>
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</script>
<div class="form_container">
<div id="form_page_6a5f2e39-a45a-440c-aad2-52ddaeba71ad">
<div class="form_loading hidden" aria-hidden="true">Loading...</div>
<div class="form_pages" aria-hidden="false">
<div id="form_page_1" data-id="6a5f2e39-a45a-440c-aad2-52ddaeba71ad" class="form_page form_page_1 form_page_multiple" style="clear: left;">
<div class="form_question form_h2 form_question_d074c5a9-71ea-427c-a9cf-80772445296d form_layout_stacked" id="form_question_d074c5a9-71ea-427c-a9cf-80772445296d" style="clear: left;" data-id="d074c5a9-71ea-427c-a9cf-80772445296d"
data-type="h2">
<div class="form_label">
<h5>Personal Information</h5>
</div>
</div>
<div class="form_question form_text form_question_66fa423d-1bf7-4eb9-8ebd-9344cc97fc50 form_layout_stacked" id="form_question_66fa423d-1bf7-4eb9-8ebd-9344cc97fc50" style="clear: left;" data-id="66fa423d-1bf7-4eb9-8ebd-9344cc97fc50"
data-type="text" data-export="sys:first" data-required="1"><label class="form_label" for="form_66fa423d-1bf7-4eb9-8ebd-9344cc97fc50">First Name</label>
<div class="form_responses"><input type="text" size="32" id="form_66fa423d-1bf7-4eb9-8ebd-9344cc97fc50" name="form_66fa423d-1bf7-4eb9-8ebd-9344cc97fc50" value="" autocomplete="off" spellcheck="false" required="required"></div>
</div>
<div class="form_question form_text form_question_accaef73-f3ba-441a-aede-10e3ac12300d form_layout_stacked" id="form_question_accaef73-f3ba-441a-aede-10e3ac12300d" style="clear: left;" data-id="accaef73-f3ba-441a-aede-10e3ac12300d"
data-type="text" data-export="sys:middle"><label class="form_label" for="form_accaef73-f3ba-441a-aede-10e3ac12300d">Middle Name</label>
<div class="form_responses"><input type="text" size="32" id="form_accaef73-f3ba-441a-aede-10e3ac12300d" name="form_accaef73-f3ba-441a-aede-10e3ac12300d" value="" autocomplete="off" spellcheck="false"></div>
</div>
<div class="form_question form_text form_question_722e44b4-333c-420c-bb49-7c4d3ab906fa form_layout_stacked" id="form_question_722e44b4-333c-420c-bb49-7c4d3ab906fa" style="clear: left;" data-id="722e44b4-333c-420c-bb49-7c4d3ab906fa"
data-type="text" data-export="sys:last" data-required="1"><label class="form_label" for="form_722e44b4-333c-420c-bb49-7c4d3ab906fa">Last Name</label>
<div class="form_responses"><input type="text" size="32" id="form_722e44b4-333c-420c-bb49-7c4d3ab906fa" name="form_722e44b4-333c-420c-bb49-7c4d3ab906fa" value="" autocomplete="off" spellcheck="false" required="required"></div>
</div>
<div class="form_question form_birthdate form_question_8f892cf2-6515-4114-be32-1fa7a2744203 form_layout_stacked" id="form_question_8f892cf2-6515-4114-be32-1fa7a2744203" style="clear: left;" data-id="8f892cf2-6515-4114-be32-1fa7a2744203"
data-type="birthdate" data-export="sys:birthdate" data-datatype="date">
<fieldset>
<legend>Birthdate</legend>
<div class="form_label">Birthdate</div>
<div class="form_responses"><select aria-label="Month" id="form_8f892cf2-6515-4114-be32-1fa7a2744203_m" name="form_8f892cf2-6515-4114-be32-1fa7a2744203_m" size="1" autocomplete="off">
<option value=""></option>
<option value="01">January</option>
<option value="02">February</option>
<option value="03">March</option>
<option value="04">April</option>
<option value="05">May</option>
<option value="06">June</option>
<option value="07">July</option>
<option value="08">August</option>
<option value="09">September</option>
<option value="10">October</option>
<option value="11">November</option>
<option value="12">December</option>
</select><select aria-label="Day" id="form_8f892cf2-6515-4114-be32-1fa7a2744203_d" name="form_8f892cf2-6515-4114-be32-1fa7a2744203_d" size="1" style="margin-left: 5px;" autocomplete="off">
<option value=""></option>
<option value="01">1</option>
<option value="02">2</option>
<option value="03">3</option>
<option value="04">4</option>
<option value="05">5</option>
<option value="06">6</option>
<option value="07">7</option>
<option value="08">8</option>
<option value="09">9</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
<option value="13">13</option>
<option value="14">14</option>
<option value="15">15</option>
<option value="16">16</option>
<option value="17">17</option>
<option value="18">18</option>
<option value="19">19</option>
<option value="20">20</option>
<option value="21">21</option>
<option value="22">22</option>
<option value="23">23</option>
<option value="24">24</option>
<option value="25">25</option>
<option value="26">26</option>
<option value="27">27</option>
<option value="28">28</option>
<option value="29">29</option>
<option value="30">30</option>
<option value="31">31</option>
</select><select aria-label="Year" id="form_8f892cf2-6515-4114-be32-1fa7a2744203_y" name="form_8f892cf2-6515-4114-be32-1fa7a2744203_y" size="1" style="margin-left: 5px;" autocomplete="off">
<option></option>
<option value="2023">2023</option>
<option value="2022">2022</option>
<option value="2021">2021</option>
<option value="2020">2020</option>
<option value="2019">2019</option>
<option value="2018">2018</option>
<option value="2017">2017</option>
<option value="2016">2016</option>
<option value="2015">2015</option>
<option value="2014">2014</option>
<option value="2013">2013</option>
<option value="2012">2012</option>
<option value="2011">2011</option>
<option value="2010">2010</option>
<option value="2009">2009</option>
<option value="2008">2008</option>
<option value="2007">2007</option>
<option value="2006">2006</option>
<option value="2005">2005</option>
<option value="2004">2004</option>
<option value="2003">2003</option>
<option value="2002">2002</option>
<option value="2001">2001</option>
<option value="2000">2000</option>
<option value="1999">1999</option>
<option value="1998">1998</option>
<option value="1997">1997</option>
<option value="1996">1996</option>
<option value="1995">1995</option>
<option value="1994">1994</option>
<option value="1993">1993</option>
<option value="1992">1992</option>
<option value="1991">1991</option>
<option value="1990">1990</option>
<option value="1989">1989</option>
<option value="1988">1988</option>
<option value="1987">1987</option>
<option value="1986">1986</option>
<option value="1985">1985</option>
<option value="1984">1984</option>
<option value="1983">1983</option>
<option value="1982">1982</option>
<option value="1981">1981</option>
<option value="1980">1980</option>
<option value="1979">1979</option>
<option value="1978">1978</option>
<option value="1977">1977</option>
<option value="1976">1976</option>
<option value="1975">1975</option>
<option value="1974">1974</option>
<option value="1973">1973</option>
<option value="1972">1972</option>
<option value="1971">1971</option>
<option value="1970">1970</option>
<option value="1969">1969</option>
<option value="1968">1968</option>
<option value="1967">1967</option>
<option value="1966">1966</option>
<option value="1965">1965</option>
<option value="1964">1964</option>
<option value="1963">1963</option>
<option value="1962">1962</option>
<option value="1961">1961</option>
<option value="1960">1960</option>
<option value="1959">1959</option>
<option value="1958">1958</option>
<option value="1957">1957</option>
<option value="1956">1956</option>
<option value="1955">1955</option>
<option value="1954">1954</option>
<option value="1953">1953</option>
<option value="1952">1952</option>
<option value="1951">1951</option>
<option value="1950">1950</option>
<option value="1949">1949</option>
<option value="1948">1948</option>
<option value="1947">1947</option>
<option value="1946">1946</option>
<option value="1945">1945</option>
<option value="1944">1944</option>
<option value="1943">1943</option>
<option value="1942">1942</option>
<option value="1941">1941</option>
<option value="1940">1940</option>
<option value="1939">1939</option>
<option value="1938">1938</option>
<option value="1937">1937</option>
<option value="1936">1936</option>
<option value="1935">1935</option>
<option value="1934">1934</option>
<option value="1933">1933</option>
<option value="1932">1932</option>
<option value="1931">1931</option>
<option value="1930">1930</option>
<option value="1929">1929</option>
<option value="1928">1928</option>
<option value="1927">1927</option>
<option value="1926">1926</option>
<option value="1925">1925</option>
<option value="1924">1924</option>
<option value="1923">1923</option>
<option value="1922">1922</option>
<option value="1921">1921</option>
<option value="1920">1920</option>
<option value="1919">1919</option>
<option value="1918">1918</option>
<option value="1917">1917</option>
<option value="1916">1916</option>
<option value="1915">1915</option>
<option value="1914">1914</option>
<option value="1913">1913</option>
<option value="1912">1912</option>
<option value="1911">1911</option>
<option value="1910">1910</option>
<option value="1909">1909</option>
<option value="1908">1908</option>
<option value="1907">1907</option>
<option value="1906">1906</option>
<option value="1905">1905</option>
<option value="1904">1904</option>
<option value="1903">1903</option>
<option value="1902">1902</option>
<option value="1901">1901</option>
<option value="1900">1900</option>
</select></div>
</fieldset>
</div>
<div class="form_question form_p form_question_a876f4ab-be5a-4f73-9e84-117b769b27a0 form_layout_stacked" id="form_question_a876f4ab-be5a-4f73-9e84-117b769b27a0" style="clear: left;" data-id="a876f4ab-be5a-4f73-9e84-117b769b27a0"
data-type="p">
<div class="form_label"><span style="font-size:9px;">This helps us eliminate duplicates in our system!</span></div>
</div>
<div class="form_question form_address form_question_bc6c2338-fb3e-4c70-bdbb-c1def4dc3c64 form_layout_stacked" id="form_question_bc6c2338-fb3e-4c70-bdbb-c1def4dc3c64" style="clear: left;" data-id="bc6c2338-fb3e-4c70-bdbb-c1def4dc3c64"
data-type="address" data-export="sys:address">
<fieldset>
<legend>Mailing Address</legend>
<div class="form_label">Mailing Address</div>
<div><label class="form_label" for="form_bc6c2338-fb3e-4c70-bdbb-c1def4dc3c64_country">Country</label>
<div class="form_responses"><select id="form_bc6c2338-fb3e-4c70-bdbb-c1def4dc3c64_country" name="form_bc6c2338-fb3e-4c70-bdbb-c1def4dc3c64_country" size="1" autocomplete="off">
<option value="AF">Afghanistan</option>
<option value="AX">Aland Islands</option>
<option value="AL">Albania</option>
<option value="AG">Algeria</option>
<option value="AN">Andorra</option>
<option value="AO">Angola</option>
<option value="AV">Anguilla</option>
<option value="AC">Antigua and Barbuda</option>
<option value="AR">Argentina</option>
<option value="AM">Armenia</option>
<option value="AA">Aruba</option>
<option value="AT">Ashmore and Cartier Islands</option>
<option value="AS">Australia</option>
<option value="AU">Austria</option>
<option value="AJ">Azerbaijan</option>
<option value="BF">Bahamas, The</option>
<option value="BA">Bahrain</option>
<option value="BG">Bangladesh</option>
<option value="BB">Barbados</option>
<option value="BS">Bassas Da India</option>
<option value="BO">Belarus</option>
<option value="BE">Belgium</option>
<option value="BH">Belize</option>
<option value="BN">Benin</option>
<option value="BD">Bermuda</option>
<option value="BT">Bhutan</option>
<option value="BL">Bolivia</option>
<option value="BQ">Bonaire, Sint Eustatius, and ...</option>
<option value="BK">Bosnia and Herzegovina</option>
<option value="BC">Botswana</option>
<option value="BV">Bouvet Island</option>
<option value="BR">Brazil</option>
<option value="IO">British Indian Ocean Territory</option>
<option value="VI">British Virgin Islands</option>
<option value="BX">Brunei</option>
<option value="BU">Bulgaria</option>
<option value="UV">Burkina Faso</option>
<option value="BY">Burundi</option>
<option value="CB">Cambodia</option>
<option value="CM">Cameroon</option>
<option value="CA">Canada</option>
<option value="CV">Cape Verde</option>
<option value="CJ">Cayman Islands</option>
<option value="CT">Central African Republic</option>
<option value="CD">Chad</option>
<option value="CI">Chile</option>
<option value="CH">China</option>
<option value="KT">Christmas Island</option>
<option value="IP">Clipperton Island</option>
<option value="CK">Cocos Islands (Keeling Islands)</option>
<option value="CO">Colombia</option>
<option value="CN">Comoros</option>
<option value="CF">Congo (Brazzaville)</option>
<option value="CG">Congo (Kinshasa)</option>
<option value="CW">Cook Islands</option>
<option value="CR">Coral Sea Islands</option>
<option value="CS">Costa Rica</option>
<option value="IV">Cote D'Ivoire</option>
<option value="HR">Croatia</option>
<option value="CU">Cuba</option>
<option value="UC">Curacao</option>
<option value="CY">Cyprus</option>
<option value="EZ">Czech Republic</option>
<option value="DA">Denmark</option>
<option value="DJ">Djibouti</option>
<option value="DO">Dominica</option>
<option value="DR">Dominican Republic</option>
<option value="EC">Ecuador</option>
<option value="EG">Egypt</option>
<option value="ES">El Salvador</option>
<option value="EK">Equatorial Guinea</option>
<option value="ER">Eritrea</option>
<option value="EN">Estonia</option>
<option value="WZ">Eswatini</option>
<option value="ET">Ethiopia</option>
<option value="EU">Europa Island</option>
<option value="FK">Falkland Islands (Islas Malvi...</option>
<option value="FO">Faroe Islands</option>
<option value="FM">Federated States of Micronesia</option>
<option value="FJ">Fiji</option>
<option value="FI">Finland</option>
<option value="FR">France</option>
<option value="FG">French Guiana</option>
<option value="FP">French Polynesia</option>
<option value="FS">French Southern and Antarctic...</option>
<option value="GB">Gabon</option>
<option value="GA">Gambia, The</option>
<option value="GG">Georgia</option>
<option value="GM">Germany</option>
<option value="GH">Ghana</option>
<option value="GI">Gibraltar</option>
<option value="GO">Glorioso Islands</option>
<option value="GR">Greece</option>
<option value="GL">Greenland</option>
<option value="GJ">Grenada</option>
<option value="GP">Guadeloupe</option>
<option value="GT">Guatemala</option>
<option value="GK">Guernsey</option>
<option value="GV">Guinea</option>
<option value="PU">Guinea-Bissau</option>
<option value="GY">Guyana</option>
<option value="HA">Haiti</option>
<option value="HM">Heard Island and McDonald Isl...</option>
<option value="HO">Honduras</option>
<option value="HK">Hong Kong S.A.R.</option>
<option value="HU">Hungary</option>
<option value="IC">Iceland</option>
<option value="IN">India</option>
<option value="ID">Indonesia</option>
<option value="IR">Iran</option>
<option value="IZ">Iraq</option>
<option value="EI">Ireland</option>
<option value="IS">Israel</option>
<option value="IT">Italy</option>
<option value="JM">Jamaica</option>
<option value="JN">Jan Mayen</option>
<option value="JA">Japan</option>
<option value="JE">Jersey</option>
<option value="JO">Jordan</option>
<option value="JU">Juan De Nova Island</option>
<option value="KZ">Kazakhstan</option>
<option value="KE">Kenya</option>
<option value="KR">Kiribati</option>
<option value="KN">Korea, North</option>
<option value="KS">Korea, South</option>
<option value="KV">Kosovo</option>
<option value="KU">Kuwait</option>
<option value="KG">Kyrgyzstan</option>
<option value="LA">Laos</option>
<option value="LG">Latvia</option>
<option value="LE">Lebanon</option>
<option value="LT">Lesotho</option>
<option value="LI">Liberia</option>
<option value="LY">Libya</option>
<option value="LS">Liechtenstein</option>
<option value="LH">Lithuania</option>
<option value="LU">Luxembourg</option>
<option value="MC">Macau S.A.R.</option>
<option value="MK">Macedonia, Republic of North</option>
<option value="MA">Madagascar</option>
<option value="MI">Malawi</option>
<option value="MY">Malaysia</option>
<option value="MV">Maldives</option>
<option value="ML">Mali</option>
<option value="MT">Malta</option>
<option value="IM">Man, Isle of</option>
<option value="RM">Marshall Islands</option>
<option value="MB">Martinique</option>
<option value="MR">Mauritania</option>
<option value="MP">Mauritius</option>
<option value="MF">Mayotte</option>
<option value="MX">Mexico</option>
<option value="MD">Moldova</option>
<option value="MN">Monaco</option>
<option value="MG">Mongolia</option>
<option value="MJ">Montenegro</option>
<option value="MH">Montserrat</option>
<option value="MO">Morocco</option>
<option value="MZ">Mozambique</option>
<option value="BM">Myanmar</option>
<option value="WA">Namibia</option>
<option value="NR">Nauru</option>
<option value="NP">Nepal</option>
<option value="NL">Netherlands</option>
<option value="NC">New Caledonia</option>
<option value="NZ">New Zealand</option>
<option value="NU">Nicaragua</option>
<option value="NG">Niger</option>
<option value="NI">Nigeria</option>
<option value="NE">Niue</option>
<option value="NF">Norfolk Island</option>
<option value="NO">Norway</option>
<option value="MU">Oman</option>
<option value="PK">Pakistan</option>
<option value="PS">Palau, the Pacific Islands of</option>
<option value="WE">Palestine</option>
<option value="PM">Panama</option>
<option value="PP">Papua New Guinea</option>
<option value="PA">Paraguay</option>
<option value="PE">Peru</option>
<option value="RP">Philippines</option>
<option value="PC">Pitcairn Islands</option>
<option value="PL">Poland</option>
<option value="PO">Portugal</option>
<option value="QA">Qatar</option>
<option value="RE">Reunion</option>
<option value="RO">Romania</option>
<option value="RS">Russia</option>
<option value="RW">Rwanda</option>
<option value="TB">Saint Barthelemy</option>
<option value="SH">Saint Helena</option>
<option value="SC">Saint Kitts and Nevis</option>
<option value="ST">Saint Lucia</option>
<option value="RN">Saint Martin</option>
<option value="SB">Saint Pierre and Miquelon</option>
<option value="VC">Saint Vincent and the Grenadines</option>
<option value="WS">Samoa</option>
<option value="SM">San Marino</option>
<option value="TP">Sao Tome and Principe</option>
<option value="SA">Saudi Arabia</option>
<option value="SG">Senegal</option>
<option value="RB">Serbia</option>
<option value="SE">Seychelles</option>
<option value="SL">Sierra Leone</option>
<option value="SN">Singapore</option>
<option value="NN">Sint Maarten</option>
<option value="LO">Slovakia</option>
<option value="SI">Slovenia</option>
<option value="BP">Solomon Islands</option>
<option value="SO">Somalia</option>
<option value="SF">South Africa</option>
<option value="SX">South Georgia and the South S...</option>
<option value="OD">South Sudan</option>
<option value="SP">Spain</option>
<option value="PG">Spratly Islands</option>
<option value="CE">Sri Lanka</option>
<option value="SU">Sudan</option>
<option value="NS">Suriname</option>
<option value="SV">Svalbard</option>
<option value="SW">Sweden</option>
<option value="SZ">Switzerland</option>
<option value="SY">Syria</option>
<option value="TW">Taiwan</option>
<option value="TI">Tajikistan</option>
<option value="TZ">Tanzania</option>
<option value="TH">Thailand</option>
<option value="TT">Timor-Leste</option>
<option value="TO">Togo</option>
<option value="TL">Tokelau</option>
<option value="TN">Tonga</option>
<option value="TD">Trinidad and Tobago</option>
<option value="TE">Tromelin Island</option>
<option value="TS">Tunisia</option>
<option value="TU">Turkey</option>
<option value="TX">Turkmenistan</option>
<option value="TK">Turks and Caicos Islands</option>
<option value="TV">Tuvalu</option>
<option value="UG">Uganda</option>
<option value="UP">Ukraine</option>
<option value="AE">United Arab Emirates</option>
<option value="UK">United Kingdom</option>
<option value="US">United States</option>
<option value="UY">Uruguay</option>
<option value="UZ">Uzbekistan</option>
<option value="NH">Vanuatu</option>
<option value="VT">Vatican City</option>
<option value="VE">Venezuela</option>
<option value="VM">Vietnam</option>
<option value="WF">Wallis and Futuna Islands</option>
<option value="WI">Western Sahara</option>
<option value="YM">Yemen</option>
<option value="ZA">Zambia</option>
<option value="ZI">Zimbabwe</option>
</select></div>
</div>
<div><label class="form_label" for="form_bc6c2338-fb3e-4c70-bdbb-c1def4dc3c64_street">Street</label>
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class="maxlength_enabled"></textarea></div>
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<div><label class="form_label" for="form_bc6c2338-fb3e-4c70-bdbb-c1def4dc3c64_city">City</label>
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<div class="address-row"><label class="form_label" id="form_bc6c2338-fb3e-4c70-bdbb-c1def4dc3c64_label" for="form_bc6c2338-fb3e-4c70-bdbb-c1def4dc3c64_region" data-default="">State</label>
<div class="form_responses"><select id="form_bc6c2338-fb3e-4c70-bdbb-c1def4dc3c64_region" name="form_bc6c2338-fb3e-4c70-bdbb-c1def4dc3c64_region" size="1" style="margin-right: 10px;" autocomplete="off">
<option value="">Select State</option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AS">American Samoa</option>
<option value="AA">APO/FPO (AA)</option>
<option value="AE">APO/FPO (AE)</option>
<option value="AP">APO/FPO (AP)</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="DC">District of Columbia</option>
<option value="FM">Federated States of Micronesia</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="GU">Guam</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MP">Mariana Islands</option>
<option value="MH">Marshall Islands</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PW">Palau</option>
<option value="PA">Pennsylvania</option>
<option value="PR">Puerto Rico</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VI">Virgin Islands, U.S.</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
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<div><label class="form_label" for="form_bc6c2338-fb3e-4c70-bdbb-c1def4dc3c64_postal">Postal Code</label>
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<div class="form_question form_text form_question_48596af9-230a-4073-9fab-4ef96632fd8e form_layout_stacked" id="form_question_48596af9-230a-4073-9fab-4ef96632fd8e" style="clear: left;" data-id="48596af9-230a-4073-9fab-4ef96632fd8e"
data-type="text" data-export="sys:email" data-mask="email" data-required="1"><label class="form_label" for="form_48596af9-230a-4073-9fab-4ef96632fd8e">Email Address</label>
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<div class="form_question form_radio form_question_bd2446b1-7add-4440-8327-5b5313c2289a form_layout_stacked hidden" id="form_question_bd2446b1-7add-4440-8327-5b5313c2289a" style="clear: left;"
data-id="bd2446b1-7add-4440-8327-5b5313c2289a" data-type="radio" data-export="sys:field:allow_text_messaging" data-hidden-by-condition="1" aria-hidden="true">
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<legend>Can we text you about upcoming events and important application deadlines?</legend>
<div class="form_label">Can we text you about upcoming events and important application deadlines?</div>
<div class="form_responses">
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<div class="form_question form_h2 form_question_d7790602-06f9-4230-8929-911602368374 form_layout_stacked" id="form_question_d7790602-06f9-4230-8929-911602368374" style="clear: left;" data-id="d7790602-06f9-4230-8929-911602368374"
data-type="h2">
<div class="form_label">
<h5>Academic Interest</h5>
</div>
</div>
<div class="form_question form_select form_question_79b3234e-728d-4b2a-afe8-97ecbf1e2684 form_layout_stacked" id="form_question_79b3234e-728d-4b2a-afe8-97ecbf1e2684" style="clear: left;" data-id="79b3234e-728d-4b2a-afe8-97ecbf1e2684"
data-type="select" data-export="sys:field:self_identification_type" data-required="1"><label class="form_label" for="form_79b3234e-728d-4b2a-afe8-97ecbf1e2684">I am a:</label>
<div class="form_responses"><select size="1" id="form_79b3234e-728d-4b2a-afe8-97ecbf1e2684" name="form_79b3234e-728d-4b2a-afe8-97ecbf1e2684" autocomplete="off" required="required" data-handler-change="1">
<option></option>
<option value="0b2b5c53-8292-4c20-abc9-08ae34d7d1b1" data-text="Current college student">Current college student</option>
<option value="22bbc41c-8912-4dd6-a8ca-d5a03cdac8da" data-text="Post-high school student">Post-high school student</option>
<option value="160766ca-2d56-4be7-ad2b-923f5f6053d0" data-text="Post-college student">Post-college student</option>
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</div>
<div class="form_question form_select form_question_edf61eb0-9046-4a1d-8d40-82ce3b704a0e form_layout_stacked" id="form_question_edf61eb0-9046-4a1d-8d40-82ce3b704a0e" style="clear: left;" data-id="edf61eb0-9046-4a1d-8d40-82ce3b704a0e"
data-type="select" data-export="sys:field:self_identification" data-required="1" data-hidden-by-conditional-prompts="0" aria-hidden="false"><label class="form_label" for="form_edf61eb0-9046-4a1d-8d40-82ce3b704a0e">Interested in:</label>
<div class="form_responses"><select size="1" id="form_edf61eb0-9046-4a1d-8d40-82ce3b704a0e" name="form_edf61eb0-9046-4a1d-8d40-82ce3b704a0e" autocomplete="off" required="required" data-handler-change="1">
<option></option>
<option value="869df750-8460-4279-b230-4347c9c9858a" data-text="Traditional Undergraduate programs">Traditional Undergraduate programs</option>
<option value="ec77f86a-b9b6-4476-925c-82f1b8e515cd" data-text="PSEO/Early College programs">PSEO/Early College programs</option>
<option value="7eeb985a-a625-4707-83e7-780a83b5302b" data-text="Transferring to UNW (including Post Baccalaureate Nursing)">Transferring to UNW (including Post Baccalaureate Nursing)</option>
<option value="215c3539-58fd-4552-8ada-c633c99047fe" data-text="Taking individual courses">Taking individual courses</option>
<option value="d946234d-5989-408d-8d8a-19c65341236c" data-text="Adult Undergraduate/Degree Completion programs">Adult Undergraduate/Degree Completion programs</option>
<option value="ff0251b9-6b1d-4a52-a87f-9b2eed7f958a" data-text="Online Undergraduate Degree programs">Online Undergraduate Degree programs</option>
<option value="d9fbe538-4f54-4fb4-a239-e0e0164e1522" data-text="Graduate programs">Graduate programs</option>
</select></div>
</div>
<div class="form_question form_select form_question_f7b01eca-74dd-4cdb-8e79-55dffd124c01 form_layout_stacked hidden" id="form_question_f7b01eca-74dd-4cdb-8e79-55dffd124c01" style="clear: left; display: initial;"
data-id="f7b01eca-74dd-4cdb-8e79-55dffd124c01" data-type="select" data-export="sys:field:program_person" data-hidden-by-condition="1" aria-hidden="true"><label class="form_label" for="form_f7b01eca-74dd-4cdb-8e79-55dffd124c01">Choose
your Academic Program of Interest</label>
<div class="form_responses"><select size="1" id="form_f7b01eca-74dd-4cdb-8e79-55dffd124c01" name="form_f7b01eca-74dd-4cdb-8e79-55dffd124c01" autocomplete="off" disabled="">
<option></option>
<option value="5face5c4-b89d-414b-bfa1-3f332ca73c4c" data-text="- Undecided">- Undecided</option>
<option value="abf6f2b5-c3b7-4d01-8748-7124f74db2b4" data-text="- Undecided Adult Learner">- Undecided Adult Learner</option>
<option value="79fdfd77-9b1b-4ffb-a8ed-9569c21db33d" data-text="- Undecided Graduate Student">- Undecided Graduate Student</option>
<option value="98cb6ba0-37a7-4f73-b2cc-f47349dda6d3" data-text="- Undecided Traditional Undergraduate">- Undecided Traditional Undergraduate</option>
<option value="652e2fc7-7072-44bf-8b65-40d9060da249" data-text="Accounting">Accounting</option>
<option value="f64bcbfa-529b-42d7-b7f5-f3aea3d8baad" data-text="Animation and Illustration">Animation and Illustration</option>
<option value="f9a44678-23d6-4f51-8554-d4191a4f3858" data-text="Art">Art</option>
<option value="568719a2-c15f-423f-886c-2b792c8788f5" data-text="Associate of Arts - Psychology">Associate of Arts - Psychology</option>
<option value="1f1fce46-d407-4ea5-af08-f0e9575db57e" data-text="Associates of Arts - Liberal Studies">Associates of Arts - Liberal Studies</option>
<option value="27d41b61-33f3-41c6-a8fe-0c09db98f946" data-text="Associates of Arts - Liberal Studies (TR)">Associates of Arts - Liberal Studies (TR)</option>
<option value="bc12d15c-beca-4f66-bdc4-478f07873130" data-text="Associates of Arts and Bible">Associates of Arts and Bible</option>
<option value="3de2efbf-a0b8-48b6-9d27-0a8f4c2c91cc" data-text="Associates of Arts and Bible Option 1 (TR)">Associates of Arts and Bible Option 1 (TR)</option>
<option value="031df012-3bf9-4f27-b00a-5f3a631a5a82" data-text="Associates of Arts in General Studies">Associates of Arts in General Studies</option>
<option value="d9f48343-dac7-4492-bafa-729ec6d3b3d2" data-text="Biblical and Theological Studies">Biblical and Theological Studies</option>
<option value="719d9b98-b157-46e4-afeb-44be9a7cfe92" data-text="Biblical and Theological Studies (UG)">Biblical and Theological Studies (UG)</option>
<option value="a9126f6c-5e50-4e41-b8f6-3c028c6f25ee" data-text="Biochemistry">Biochemistry</option>
<option value="b86122fa-9fc5-4672-bfaf-5f5dff81ee39" data-text="Biology">Biology</option>
<option value="1953b170-8ec2-41a4-b4dd-ed76d3fa60cb" data-text="Business Administration">Business Administration</option>
<option value="05c119ef-0248-4a5b-98f9-336f4cf56e13" data-text="Business Management">Business Management</option>
<option value="9726bf51-5c4d-4037-9a5a-fc70eac3d943" data-text="Certificate in Bible">Certificate in Bible</option>
<option value="d4015af3-1b65-4936-85de-aaeeaf9d9fed" data-text="Certificate in Bible (UG)">Certificate in Bible (UG)</option>
<option value="4934b507-5525-4d86-9318-2c44673be0cd" data-text="Certificate in Healthcare Management">Certificate in Healthcare Management</option>
<option value="84df9ade-f52e-46d7-8b08-ad4360411d7d" data-text="Communication Arts/Literature Education">Communication Arts/Literature Education</option>
<option value="c502a783-c667-4d9f-8f96-29f40f3e5543" data-text="Communication Studies (UG)">Communication Studies (UG)</option>
<option value="2c612acf-829e-44df-ad79-76f7a4af5a4e" data-text="Computer Science">Computer Science</option>
<option value="af2acb7a-d24a-4e58-be4d-f41353d56cbb" data-text="Criminal Justice">Criminal Justice</option>
<option value="cc0b5623-6d18-4c52-b12a-f742073fae86" data-text="Cybersecurity & Information Systems">Cybersecurity & Information Systems</option>
<option value="aac933ab-78c8-40a7-9d83-4b466f5f4274" data-text="Data Analytics">Data Analytics</option>
<option value="4efc3259-1bb0-4066-a408-22164712ea6a" data-text="Early Childhood Education">Early Childhood Education</option>
<option value="b01dbdb8-822a-4207-93c8-d02127f251df" data-text="Elementary Education">Elementary Education</option>
<option value="9a734b48-cb5d-43a6-983a-1511931e664f" data-text="Engineering">Engineering</option>
<option value="7d849514-b9da-41ac-a938-115f4e30841d" data-text="English">English</option>
<option value="8b555b84-39b4-4a32-ae3d-12d8a5756bf0" data-text="English as a Second Language Education">English as a Second Language Education</option>
<option value="71ebb6cb-1a3a-4ce7-97fd-571fb420b373" data-text="Finance">Finance</option>
<option value="0bf92757-0dc1-4976-b8a1-d035ab2fad6a" data-text="Global Business (UG)">Global Business (UG)</option>
<option value="1ef01841-375c-4506-877d-88463296ee62" data-text="Graduate Certificate in Christian Studies">Graduate Certificate in Christian Studies</option>
<option value="352e3f35-a984-49a4-a3de-06d19c8ad4ac" data-text="Graduate Certificate in Data Analytics">Graduate Certificate in Data Analytics</option>
<option value="b97a5fba-4007-4562-a169-f8ac8cd6e5e9" data-text="Graduate Certificate in Healthcare Management">Graduate Certificate in Healthcare Management</option>
<option value="c20d1b60-2fcb-4609-9b01-7184536cd409" data-text="Graduate Certificate in Leadership">Graduate Certificate in Leadership</option>
<option value="bcfa0a4f-b7a6-464b-87f0-140649744781" data-text="Graduate Certificate in Ministry Leadership">Graduate Certificate in Ministry Leadership</option>
<option value="a2e38169-af6d-4061-9278-a9830fe837a5" data-text="Graphic Design">Graphic Design</option>
<option value="6a103ffc-ca67-47d7-ab39-d30264574b58" data-text="Health Sciences">Health Sciences</option>
<option value="31861e32-e6dc-4e12-81dd-06edd3a55c57" data-text="Healthcare Management - BS">Healthcare Management - BS</option>
<option value="a34d26ee-b8d2-4c82-8606-c9a25959ecaf" data-text="History">History</option>
<option value="cf05943c-3194-4e14-875f-acb235318377" data-text="Intercultural Studies">Intercultural Studies</option>
<option value="c28c3e74-5aad-4ed9-8941-7a49a025ef44" data-text="Interdisciplinary Studies">Interdisciplinary Studies</option>
<option value="95e9a375-59c7-4b4a-a54c-e0f2cf200784" data-text="Kinesiology">Kinesiology</option>
<option value="b4d0a077-4058-468f-bcf8-0a886d1fd2fb" data-text="Marketing">Marketing</option>
<option value="79629653-75eb-49b4-875e-cce9b716a0a5" data-text="Master of Arts Human Services">Master of Arts Human Services</option>
<option value="13e1423b-f01c-4093-bc61-6aacfafeea8b" data-text="Master of Arts in Education">Master of Arts in Education</option>
<option value="26f96318-9eb9-41f8-95ab-7c535b7ed4c7" data-text="Master of Arts Ministry Leadership">Master of Arts Ministry Leadership</option>
<option value="96ec5fce-6dfa-461e-9a57-4c29ef43372c" data-text="Master of Arts Theological Studies">Master of Arts Theological Studies</option>
<option value="b27b074d-1448-4072-b446-adb96eafacb7" data-text="Master of Business Administration">Master of Business Administration</option>
<option value="f586a3b8-6463-4a1e-b740-fb16da98daaf" data-text="Master of Divinity">Master of Divinity</option>
<option value="7da2a1e6-8294-4f68-88d5-d29a9c541fa8" data-text="Master of Organizational Leadership">Master of Organizational Leadership</option>
<option value="a27cfede-9c5e-4d60-ad3c-0b6a0a797f4f" data-text="Mathematics Education">Mathematics Education</option>
<option value="8a6c254c-1f0b-4ebb-92b6-d4630c83fc18" data-text="Mathematics, Applied">Mathematics, Applied</option>
<option value="02dfb580-5979-4dd5-80c8-d1a269aec139" data-text="Media Production">Media Production</option>
<option value="2766313d-3fbc-4dd0-b5bd-72cdc39f26bd" data-text="Ministry">Ministry</option>
<option value="cb1d3942-bda8-45f4-b4f9-cc7488e2329d" data-text="Ministry (UG)">Ministry (UG)</option>
<option value="58b12dae-e387-44bd-97b1-9d5993587f04" data-text="Music">Music</option>
<option value="93359e77-7664-464e-93f8-aff52500c4ae" data-text="Music Composition">Music Composition</option>
<option value="eed53b4b-b091-40bc-9a6b-c01c917de3ae" data-text="Music Education">Music Education</option>
<option value="c85bf0da-959c-4f2d-93b3-a6028523d7b0" data-text="Music Performance">Music Performance</option>
<option value="5e867a86-88bf-4ef8-8b6c-47d16bc9d184" data-text="Nonprofit Leadership">Nonprofit Leadership</option>
<option value="ac768370-1187-44fd-98bb-9c7937f62b63" data-text="Nursing">Nursing</option>
<option value="b8fb0032-060d-4299-9692-3fd0ebd8c54c" data-text="Nursing Post Baccalaureate">Nursing Post Baccalaureate</option>
<option value="37623327-1918-4d2a-86eb-3284d605f871" data-text="Pastoral Ministry">Pastoral Ministry</option>
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