| Expected Enrollment Date
Fall
Spring
Summer -
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| PERSONAL INFORMATION |
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| EDUCATIONAL INFORMATION |
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Are you a high school graduate?
Do you have a G.E.D.?
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| Were You Ever On: |
Academic Probation:
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Academic Suspension:
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Social Suspension:
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| COLLEGE PLANS |
| Select Intended Major:
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| SAT and/or ACT Scores:
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| Have you taken the TASP or THEA Test?
Did you pass all three sections?
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| Have you completed the Free Application for Federal Student Aid (FAFSA)?:
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| Residence Plans:
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| PARENT/GUARDIAN INFORMATION |
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| HOW DID YOU HEAR ABOUT Wiley College? |
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Please select from this list:
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| OPTIONAL INFORMATION |
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This information is voluntary and will be used in a non-discriminatory manner in compliance with all Civil Rights Legislation.
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STATEMENT OF VALIDITY |

I certify that all information entered on this form is true and correct and I understand that any intentional misrepresentation of the facts will be reason(s) for denial of admission or immediate expulsion from the College.
I DO NOT AGREE
I AGREE
NON-DISCRIMINATION NOTICE
Wiley College does not discriminate on the basis of race, color, national origin, sex, disability, or age. Students needing assistance for any type of disability should report to the Office of Academic Affairs, Wiley College, 903.927.3300, 711 Wiley Avenue, Marshall, Texas 75670. Other referrals for assistance may be suggested. Complaints of any type of discrimination based on a disability may be reported to the same office.
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