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Wagner College

New Students

New Student Information Form

Please submit this form no later than January 6, 2012

Wagner Student ID #*:
First Name*:
Last Name*:
Address:
City:
State:
Zip:
Home phone:
Cell phone:
E-mail Address*:

Please provide the following information about your hometown newspaper so that news of your Wagner successes can be forwarded:
Name of newspaper:
Contact person at newspaper:
Address of newspaper:
City:
State:  
Zip:  
E-mail address for newspaper:
Fax for newspaper:
Phone for newspaper:

The following questions are designed to help us get to know you better. Please take your time in answering these questions:
1.
List all clubs and organizations in which you participated through high school:
2.
List all honorary memberships or awards which you have received while in high school:
3.
List participation in community and/or religious activities:
4.
List all work experience during the last four years:
5.
Please consult the list of Wagner's student clubs and organizations (on page 7 of the First Year Guide) and indicate from the following selections those activities in which you have an interest:
 
Student Government Association
 
Clubs/Organizations ( Please specify ):
 
Academic Groups ( Please specify ):
 
Intramurals ( Please specify ):
 
Student Publications
Kallista (yearbook)     Wagnerian (newspaper)     Nimbus (literary magazine)