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Thanks for your interest in Wayne State.

1. First Name (Required)

2. Last Name (Required)

3. Street Address (Required)

4. City (Required)

5. ST (Required)

6. ZIP (Required)

7. Home Phone (Required)

8. Cell Phone (Required)

9. Will you accept a text message from us? (Required)

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10. Email (Required)

11. High School (Required)

12. Graduation Year (Required)

13. Intended Major (Required)

14. Are you transferring from another college or university? (Required)

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15. Any questions or comments?

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