Wilbur Wright College - Success Starts Here!

Student Services Information Card Form

This form will be used to create your Student Information Card, which the testing office needs from you. Required fields are in bold.

Term/Academic Intent

Required: What type of student are you?:
Required: Seeking Admission for:
Required: Objective:
What is your most likely course of study?
What is your enrollment preference?
Required: Student Intent:
Required: Choose a campus:
Required: How did you hear about us?

Personal Information

Emergency Contact Information

Required Emergency Contact First Name:
Emergency Contact Last Name:
Emergency Contact same address as student?	Yes No
Emergency Contact Address:
Emergency Contact City:
Emergency Contact State:
Emergency Contact Zip:
Emergency Contact Phone	Required: Emergency Contact Phone Area Code ( ) Emergency Contact First three digits - Emergency Contact Last four digits

Academic History

Your highest degree previously earned:
Completion date (or date last attended):	Month of High School/GED Completion Date HS Completion Date Day HS Completion Date Year
Name of Last High School Attended:
City, State or Country and Province of Last High School attended:

Submit

Wright College - 4300 N. Narragansett - Chicago, IL 60634 - (773) 777-7900

Wright College is one of the City Colleges of Chicago