Online Learner Meeting

First Name

Last Name

Date of Birth

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Mobile Number

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Zip Code

Preferred Pronouns

Have you completed college credits since high school?

I'm still in high schoolNoYes

When do you plan to start at UW-Green Bay?

Major Interest (click here for a complete list of programs)

Requested meeting day(s) and time(s)

Do you have two more minutes?

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Mailing Address

City

State

High School

Please CLICK on your school; if your school
is not listed, select "My school is not listed"

Are you currently attending this school?

YesNo

Graduation Month

Please select the month
closest to your graduation

Graduation Year

Most Recent College/University

Please CLICK on your school; if your school
is not listed, select "My school is not listed"

Are you currently attending this college/university?

YesNo

Graduation Month

Please select the month
closest to your graduation

Graduation Year

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