PreCollege Application Request Form

I am interested in the following programs:
PreCollege Enrichment Program (PEP), Session I (grades 10, 11, 12)
PreCollege Enrichment Program (PEP), Session I (grades 8 and 9)
Wisconsin Youth in Nursing (WYN) (must be accepted into one session of PEP)
Young Entrepreneurial Scholars (YES) Program (grades 10, 11, 12)
Summer Mathematics and Reading Talent Scholars (SMARTS) Program (grade 6)

I would like the following number of applications sent to me:
1
2
3
10 (I am a counselor/staff member)

Please mail my application(s) to:

Name
Address 1
Address 2
City
State
Zip
Phone
E-mail

I am:
an interested student currently attending school
a counselor at school
other:

I heard about this program through a:
teacher/counselor
advertisement
PreCollege participant
friend

Thank you for your interest!
You should receive your application(s) in 2-5 business days.