Guaranteed Admission Program (GAP)

Guaranteed Admission Program (GAP)

Participation Form
Name*

First NameLast Name
Preferred Name (First name you identify with that may be different than your legal name)
Email*
example@example.com
Date of Birth *

MonthDayYear
Date
When do you plan to enroll with WIU? *
Which High School did you last attend? *
Which community college will you transfer from prior to coming to WIU
Have you attended any other colleges?

YesNo
What major are you considering? (if unsure list undecided)
By clicking yes I agree to share directory information between Western Illinois University and my current institution*

YesNo
Should be Empty: