Interest Form

Interest Form

First Wave Spoken Word and Urban Arts Learning Community Interest Form

We want this site to serve you and we'd hate to have you fill out the wrong form for what you're looking for. Take a moment to make sure this is the right form for you:

• Want to APPLY to be a First Wave student-artist? Check out our online application form.
• Want to indicate your INTEREST in First Wave and learn more about the program? Check out our interest form.
• Want to request a First Wave PERFORMANCE? Check out our performance request form.
• Want to receive our e-NEWSLETTER or share a question or comment? Check out our contact form.

Interested in finding out more about the First Wave program? Have questions about the application process? Submit this form and we'll be in touch soon!

Name First, Middle Last
Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Home Number ### - ### - ####
Cell Number ### - ### - ####
Date of Birth: MM / DD / YYYY
Gender
male female
Race/Ethnicity (check all that apply)
African American / Black Asian American / Pacific Islander Caucasian / White Latino / Hispanic Native American / American Indian Other
GPA:
SAT Score (If Applicable):
ACT Score(If Applicable):
Extra Curricular Activities & Interests:
Are you a U.S. citizen or permanent resident?
yes no
Have either of your parents received a four-year college degree?
yes no
Please tell us why you want to participate in the First Wave Learning Community at the University of Wisconsin at Madison:
Email
Year in School
NOTE:

Note: To be considered for the First Wave, you must first be admitted to UW-Madison and complete the First Wave application. The First Wave application is available online and in paper form.

Questions?

Contact Outreach Coordinator Dasha Kelly at dnkelly@wisc.edu or 414-788-8833, at the University of Wisconsin-Madison.
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