Healthcare Focus Day

First Name

Last Name

Email Address

Student Cell Phone Number

Is it okay for Wilson College to send you text messages?

Yes

No

Birthdate

Mailing Address

Country

Street

City

Region

Postal Code

When are you interested in attending Wilson College?

Select your year of high school graduation:

Please select your first choice major:

Are you interested in playing NCAA Division III Athletics?

Yes

No

Select your sport of interest:

Are you interested in our residential program for single parents?

Yes

No

The Single Parent Scholar Program provides family-friendly, on-campus housing year-round to single parents and their children (between 20 months and 12 years of age) so the parent can pursue a bachelor’s degree full time. If this does not apply to you, please select 'No' above.

T-Shirt Size

Number of guests in addition to the student:

0

1

2

Special Accommodations

Should the visiting student or their guest(s) require special assistance while on campus, please specify below.

I or my guest will require special assistance while visiting campus

Yes

No

Assistance Request:
Portions of the event schedule will vary between the visiting student and their guest. To ensure that the requested accommodation is provided in the correct location, please specify for whom this request applies.

Person for whom accommodation is needed:

Accommodation requested: