UW System Electronic Admission App – UW-Eau Claire Grad ~ Registration

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UW System Electronic Application for Graduate Admission
for UW-EAU CLAIRE Degree Program Applicants

This application is designed to be completed and submitted electronically. If you wish to complete and mail a paper application, you may download UW-Eau Claire’s application form in Word 7.0 format or request a form from UW-Eau Claire.

Initial questions for new registrants

(Please use both upper and lowercase when typing your information.)

1.

Legal Name:

Last Name (Family Name)	First	Middle
,

2.

Permanent Home Address:

Address:

City:

State/Province:

U.S.:
Canada:
Other:

Zip/Postal Code:

Country:

or specify:

(if not listed)

Phone Number:

U.S., Canada,
Caribbean:

Area Code	-	Local Number
1-	-	-

Other Countries:

Country	-	City Code	-	Local Number
	-		-

Fax Number:

U.S., Canada,
Caribbean:

Area Code	-	Local Number
1-	-	-

Other Countries:

Country	-	City Code	-	Local Number
	-		-

3.	E-Mail Address:
	Preferred:

Login Information:

IMPORTANT:

You will need to supply your login ID and password each time you access the electronic application.

If you wish to try our electronic application without actually applying to a University of Wisconsin System campus, please use our fully functional demo version. The only difference is your “submitted” applications will not be sent to a campus.

If you have questions or problems, you may contact us by phone (Monday – Thursday 8am – 6pm, Friday 8am – 4:30pm CST) or e-mail.

Voice: 1-800-442-6459 or 1-608-263-4567
TTY: 1-800-442-4621 or 1-608-262-8331
E-Mail: degreeprogram@aol.com

When you finish using this application, please click the Quit button. If you do not wish to register at this time, please click the Cancel button above.

Copyright © 1997 University of Wisconsin
Production 4.00, 1-Sep-2002

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Login ID:		Your login ID must be at least 5 characters with no spaces. It should be something easy to remember, such as your name (e.g., “bettysmith” or “bsmith”)
Password:		Your password must be at least 7 characters with no spaces. It should be something easy for you to remember, but not for others to guess.
Retype Password:

UW System Electronic Admission App – UW-Eau Claire Grad ~ Registration

Initial questions for new registrants

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