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Request Information

Thank you for your interest in UW-Green Bay’s Adult Degree Program.  Complete the online form below to receive detailed information about your degree options.  We would be happy to share this information with you in whatever mode is most convenient for you.

 

Advisor:
 

Personal Information
First Name:
Last Name:
Previous/Maiden Last Name:
Date of Birth: mm/dd/yyyy
Gender:
Place of Employment:
 

Ethnicity
Hispanic/Latino:
Race/Ethnicity: Please indicate your race, Mark all that apply:
American Indian/Alaska Native
Asian
Black/African American
Native Hawaiian/Other Pacific Islander
White
Prefer not to respond
 

Mailing Address
Address:
 
City:
County:
State:
Postal Code:
 

Contact Information
E-mail Address:
Please enter at least one of the following phone numbers:
Home Phone: ###-###-####
Work/Daytime Phone: ###-###-####
Cell/Mobile Phone: ###-###-####
What is your preferred method of contact?
 

Adult Degree Information
Term: When do you plan to begin taking classes at UW-Green Bay?
I am interested in the following degree option: Bachelor of Business Administration (B.B.A.)
Bachelor of Applied Studies (B.A.S.) - Designed for Technical College Graduates
Bachelor of Arts (B.A.)
Unsure/Don't Knowr
How did you hear about our program?:
 

Message
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* This information is requested to cross reference with our records in the event that you have ever been a student at UW-Green Bay or have inquired into any UWGB campus programs in the past