On-Track Application

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The On-Track program is designed to provide historically underrepresented and underserved college students with a support program that will assist in ensuring academic and personal success, as well as provide opportunities for social development.

Eligibility Criteria:

> First generation (neither parent graduated from a four year college)

> Low income (as defined by the office of Financial Aid)

> Culturally underrepresented

Benefits:

On-Track will monitor your academic progress each term to ensure that you maintain good academic standing and are successfully working towards completing your major program requirements and your bachelor’s degree. On-Track will also work with other student services offices on campus to provide you with information sessions designed for your personal and professional development.

Email *

Record my email address with my response

PERSONAL INFORMATION

First Name *

Middle Name

Last Name *

Preferred Name *

Pronouns

She/her/hers

He/him/his

They/them/theirs

Other:

V#: *

DOB (mm/dd/yyyy) *

Please enter as follows (12/12/2012)

Gender

Email *

Did your parents graduate from college? *

Yes

Required

Local Address (Where you currently live): *

Student Phone#: *

Please enter as follows(555)555-5555

Permanent Address (Home Address): *

Home Phone#:

Please enter as follows(555)555-5555

Ethnic/Racial Background (check all that apply) *

American Indian/Alaskan Native

Asian American

Black/African American

Native Hawaiian or other Pacific Islander

White (original peoples of Europe, the Middle East or North Africa)

Hispanic/Latino(a)

Multicultural

Other:

Required

ACADEMIC INFORMATION

Select all that apply to your current status at WOU: *

Freshman (1 term or less completed at WOU)

Transfer student (1 term or less completed at WOU)

Current WOU student (2 terms or more at WOU)

Current WOU Transfer Student (2 terms or more at WOU)

Required

Anticipated Major *

Thank you for applying to the On-Track Program at MSSP.

MSSP will be contacting you soon for next steps. Please monitor your WOU email for more information.

A copy of your responses will be emailed to .

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