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Graduate Studies, 108 RDI UW-River Falls 410 South 3rd Street, River Falls, WI 54022-5001 (715)425-3843
Required Information
I am a returning UWRF graduate student Graduate students whose last class at UWRF was prior to Fall 2003-2004 must re-enter.
Last: First Name: Middle:
Former Last Name: Email:
Social Security # *Inclusion of your social security number on this form is VOLUNTARY. If supplied, the number will be used as part of the university student record identification system. More
Birthdate (mm/dd/year) / /
Sex: Select Male Female Citizenship: Select US Citizen Resident Alien Refugee Nonresident Alien
Country of Citizenship: Visa Status:
Veteran Status: Select Not a Veteran I am a Veteran Racial/Ethnic Heritage: Select White / NonHispanic Hispanic / Latino African American / Black Southeast Asian Other Asian or Pacific Islander American Indian or Alaskin Native
Street Address: Apt. # Since: /
City: State: Zip: County:
Mailing Address (if different):
Street Address: Apt. #
From To
Home: ( ) Work: ( )
Term Expected to Enter Select Fall JTerm (Winter) Spring Summer Year:
Type your full name here if you comply:
