Request Information Form

Request Information Form

Personal Information

First Name*
Last Name*
Middle
Residence U.S. Resident International
Previous WSU student? No Yes
Telephone*
E-mail*

* Indicates a required field.

By supplying your e-mail address, you authorize WSU Spokane to correspond with you via e-mail. You will only receive correspondence related to the program(s) of interest to you and reminders of admission and registration deadlines. We do not provide your personal data to anyone. Period.


Address

Street/PO Box*
Address (cont)
City*
State*
Zip*
Country


Other Information
Gender (optional)
Highest level of education achieved (optional)

Ethnic Origin (optional)
Undisclosed ethnic origin
Chicano/Hispanic
White
Black/African American
Asian/Pacific Islander
American Indian/Alaska Native
Multiracial

Other


Areas of Interest

Do you want to complete a bachelor's degree?
Please select from among the following baccalaureate completion programs (upper division courses) offered by WSU Spokane:

BA in Interior Design
BSN in Nursing
BA in Speech and Hearing Sciences
BS in Exercise Physiology and Metabolism

PharmD (Students apply through WSU Pullman Admissions)


Do you want to earn a master's degree?

Please select from among the following degrees and specialized fields of study offered by WSU Spokane. (Limit of three selections)

Architecture MS Exercise Science
Criminal Justice Nursing
Engineering and Technology Management
(part-time only)		 Family Nurse Practitioner
Health Policy and Administration Psychiatric/Mental Health Nursing Practitioner
Interior Design Speech and Hearing Sciences
Landscape Architecture    

Some course work for the following graduate/doctoral programs is offered in Spokane. However, you will need to take additional courses at WSU Pullman in order to complete the degree. Please select the one(s) for which you'd like to receive information.

Master of Education
Master in Teaching
PhD in Criminal Justice

Do you want to earn a graduate certificate or professional certification?
WSU Spokane offers the following certifications and professional studies, some of which allow you to earn credits applicable to master?s or doctoral degrees.

Engineering Management Certificate
Graduate Certificate in Exercise Science (credits may apply to MS in Exercise Science)
Principal's Certification (credits may apply to Doctor of Education)
Professional Certificate for Teachers
Program Administrator's Certificate in Education
Superintendent's Certificate (credits may apply to Doctor of Education)

Doctoral Programs:
Doctor of Design
Doctor of Education
Doctor of Nursing

For degrees not listed here, please check the Pullman, Tri-Cities, and Vancouver campuses.

When would you like to start the program?


Other

If you have specific questions not addressed on the WSU Spokane Web site, please e-mail Jane Kinkel at kinkel@wsu.edu.

(You should get a processing page if the submission is successful; if not, please e-mail WSUSweb@wsu.edu )
Contact Us: spokane_student_services@wsu.edu, 509-358-7978 | Student Affairs
Mailing: PO Box 1495, Spokane WA 99210-1495. Shipping: 412 E. Spokane Falls Blvd., Spokane WA 99202