Apply | Wave Leadership College

Personal Information

Last Name*

First*

Middle

Preferred Name

Maiden name or any other aliases

International Students

International Student? Check this box.

Present Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Permanent Address (if different from above)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Present Address*

Street Address Address Line 2 City State ZIP Code

Permanent Address (if different from above)

Street Address Address Line 2 City State ZIP Code

Main Phone*

Other Phone*

Date of Birth*

Gender*

Male
Female

Ethnic Origin

(Optional. Requested in compliance with federal guidelines, and not used to determine admission status.)

Ethnic Origin (Other)

U.S. Citizen*

Yes
No

Are you permanently a U.S. resident?*

Yes
No

Country of citizenship:

Driver's License State & Number

Marital Status:*

If married, name of spouse:

(hidden)

Have you or any members of your family attended WLC?*

Yes
No

Exciting! Tell us who and when!

How did you learn about WLC?*

Other referral source:

What made you decide to apply today?

Application for Admission

Step 1 of 11 - Entrance Date

Personal Information

Military Service

Behavioral History

Employment

Education

Parents/Legal Guardians

Parent / Guardian #1

Parent / Guardian #2

Certification

Transcript Request

Personal Statement

Payment

Schedule A Visit

Step 1 of 11 - Entrance Date

Personal Information

Military Service

Behavioral History

Employment

Education

Parents/Legal Guardians

Parent / Guardian #1

Parent / Guardian #2

Certification

Transcript Request

Personal Statement

Payment