Thank you for your interest in the UP Program! By completing this form, you are agreeing to receive emails and/or phone calls to get more information about the UP Program and get updates about upcoming events. Questions? You can always contact us by emailing wcuupprogram@gmail.com or calling 828-227-3297.

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* 1. Potential Student Name

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* 2. Parent/Guardian Name(s)

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* 3. Best Email Contact

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* 4. Best Phone Number

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* 5. How did you hear about the UP Program?

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* 6. I am interested in attending college starting in the…

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* 7. I have registered at openhouse.wcu.edu to check out the UP Program and I plan to attend a future Open House on this date:

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* 8. Any other information we should know about the potential applicant?

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