Adult Degree Information Form

First Name:

Last Name:

E-mail:

Street Address:

City*:

State:

Zip Code:

Home Phone:

Cell Phone:

Contact Preference:

E-mail

Phone

Status:

Are you currently employed?:

Yes

If employed, where?:

How did you hear about the program?:

Have you ever attended UW River Falls?:

Yes

I would like to attend an:

information session

individual appointment

Questions or comments:

College of Business and Economics

Location: South Hall
Mailing Address: 410 S. Third Street, River Falls, WI 54022-5001
Telephone: (715) 425-3335
Fax: (715) 425-0707
cbe@uwrf.edu

University of Wisconsin-River Falls
410 S. 3rd Street, River Falls WI 54022 USA
Campus Information (715) 425-3911