REQUEST FOR INFORMATION FORM

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Please enter the information below(* Required area).

*First Name

*Last Name

*E-mail

*Mailing Address

*City *State *Zip

Potential degree program of interest:

1. In which degree program are you most interested in at this time?
   BA Organizational Leadership BS Criminal Justice BA Paralegal Studies BFA in Digital Design __________________ MA in Education MA in Organizational Leadership MS in Criminal Justice MBA
   
2. What is the major reason why you are seeking to earn your degree?
   Enter reason here.
   
   
3. Do you have earned units to transfer into your BA or MA level program?
   yes no
   if yes, from where?
   
4. If MA level, name of university where BA is from?
   
5. How did you hear about BWU?
   Please enter here.
   
6. Do you have any experience in taking online courses? yes no
   
   
7. Do you have any Life Experience for which you'd like to be considered for unit credit?
   yes no not sure
   
8. Would you like us to mail you a bulletin about your potential degree program?
   yes no
   
   
9. What other questions do you have?
   Enter questions/comments here.