New Student Data Form

Registrar: New Student Data Form

It is imperative that we have a complete current address on file for each student. Thus, all enrolled students are required to submit a completed student data form to the registrar at the beginning of each academic year.

Information included on this form will not be released in violation of your written prohibition under FERPA.

Personal Information
WFU Id# *
Name *

Title

First

Last

Suffix
Hometown (city, state): *
Hometown Newspaper:
Previous Education
Undergraduate School *
Undergraduate Degree *
Undergraduate Graduation Year *
Local Contact Information
Local Address *

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Local Address Privacy *
Cell Phone *

-
(###)

-
###

####
Cell Phone Privacy *
Local Phone

-
(###)

-
###

####
Local Phone Privacy
Permanent Contact Information
Permanent Address

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Permanent Address Privacy
Permanent Phone

-
(###)

-
###

####
Permanent Phone Privacy
Emergency Contact
Emergency Contact Name

Title

First

Last

Suffix
Relationship
Address

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Phone

-
(###)

-
###

####
Parent Information
Mother's Name

Title

First

Last

Suffix
Mother's Address

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Mother's Employer
Mother's Phone

-
(###)

-
###

####
Father's Name

Title

First

Last

Suffix
Father's Address

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Father's Employer
Father's Phone

-
(###)

-
###

####