WBU Dance Program Interest

Personal Information

First Name

Last Name

Email

Phone Number

Would you like to opt-in to receiving text messages from WBU?

Yes

No

Country

Street

City

Region

Postal Code

Athletic Information

Sport

Dance

Current Team (if different from high school)

Years of dance experience

Studio Teacher or Dance Director Name

Studio Teacher or Dance Director Email

Studio Teacher or Dance Director Phone Number

Academic Interest

Intended Start Term – Please indicate the term you plan to begin classes at Wayland.

Student Type

Freshman

Re-Enter

Transfer

Campus

Plainview, TX

Interested Program of Study

High School Information

High School Name

Graduation Year

High School GPA

High School Class Rank

College Information

College Name

Additional Information

Which event was it where you met the coach?

How did you hear about us?

What questions do you have?