✔ Did you remember to...
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fully complete, sign and date the application?
enclose the $40.00 application fee or fee waiver?
submit a high school transcript request to your high school
guidance counselor?
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submit a transcript request from any college(s) attended (if applicable)?
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submit 2 letters of recommendation from teachers, guidance counselors,
or employers?(required for Freshman and Fresh Start applicants–optional
for transfer and re-entry students)
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request SAT I scores to be sent to Western Connecticut State University
College Board Code #3350?
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enclose optional personal essay?
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remember to sign your application?
CREDIT CARD AUTHORIZATION:
Card Holder’s First Name:_____________________________________________Last Name:_____________________________________________
Day Phone No.:_____________________________________________________Evening Phone No.:______________________________________
hereby authorizes Western Connecticut State University to charge university expenses for:
Student’s Full Name:_______________________________________________________________________________________________________
First
Middle Initial
Last
Applicant’s Social Security Number:____ ____ ____ - ____ ____ - ____ ____ ____ ____
Charge to: ❑ Master Card
❑ VISA ❑ Discover
Expiration Date:_____/_____
Number of Card____________________________________________________________________
Authorized Signature:________________________________________________________________ Date:_____________________________
AMOUNT_________________________
For Office Use Only: Tuition & Fees:___________________
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