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Please fill out the following form for to recieve additional information about Texas Wesleyan University.

Basic Information
Last Name*
First Name*
Middle Name
Preferred Name
Gender*
E-mail*
Address Line 1*
Address Line 2
City*
State*
Zip*
Primary Phone*
Birthdate
Ethnicity

Intended Major*

Intended Entry Date*
How did you hear about Texas Wesleyan University?
High School Information for First Year Student
Name*
Code
Address 1*
Address 2
City*
State*
Zip
Current Grade Level*

High School Grad Year (ex: 2006)*
College or University Information for Transfer Student
Currently Attending
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School City
School State