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Pre-College Online Registration Form

Fall 2013: September 30 - November 22, 2013

Please submit the form below once for each course in which you would like to enroll. We will email you an invoice for the class after you register. The University accepts Visa, MasterCard, and e-checks. If you prefer to wire the funds, please contact Mary Kelly at mgkelly@wesleyan.edu.

Registration Form
Select Course:
Student Information
First Name:
Last Name:
Email:
Address:
City:
State/Region:
Postal Code:
Country:
Date of Birth:
Gender:
Citizenship:
150 word statement of interest:
Parent or Guardian Information
Name:
Day Phone:
Email:
High School Information
High School:
Address:
Public/Private:
GPA:
Standardized Test Taken:
Test Score:

Pre-College Online Registration Form

Fall 2013: September 30 - November 22, 2013

Registration Form

Student Information

Parent or Guardian Information

High School Information