WKU EARLY COLLEGE at WKU in Glasgow
Student Request Form
Student Information
Full Name:
First Name
Last Name
Date of Birth:
-
Month
-
Day
Year
Date
Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Cell Phone:
Cumulative GPA:
High School Email:
example@example.com
Personal Email:
example@example.com
Parent/Guardian Information
Parent/Guardian Name:
First Name
Last Name
Parent/Guardian Email:
example@example.com
Program of Interest
Please select one Early College program at WKU in Glasgow.
Program of Interest
Agriculture
Behavioral Sciences
Business Management
Crime & Legal Studies
Education
Nursing & Health Sciences
Student Acknowledgment
Early College courses are face-to-face at the WKU Glasgow campus during my junior and senior years.
I must maintain a minimum 3.0 GPA during my junior year to remain in the program for my senior year.
I am expected to follow the required coursework for my selected Professional Career Track, unless an exception is approved by WKU staff prior to registration.
I must follow the WKU academic calendar, which may require attending classes during my high school's fall or spring breaks.
I will be required to sign a WKU Early College Code of Conduct prior to registration. I understand that violations may result in dismissal from the program.
I grant permission for WKU in Glasgow to use my photograph for marketing and social media purposes.
Signatures
Student Signature:
Date:
-
Month
-
Day
Year
Date
Parent/Guardian Signature:
Date:
-
Month
-
Day
Year
Date
Completed forms must be submitted by
March 1, 2026
to be considered for the program.
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