WUE Student Application Form
Members of the Western Undergraduate Exchange Program (WUE)
PUBLIC NOTICE OF NONDISCRIMINATION: Northland Pioneer College does not discriminate on the basis of race, color, national origin, veteran status, religion, marital status, gender, age or disability in
admission or access to, or treatment or employment in its educational programs or activities. District grievance procedures will be followed for compliance with Title IX and Section 504 requirements. The Afrmative
Action Compliance Ofcer is the Director of Human Resources, 2251 E. Navajo Blvd., Holbrook, Arizona 86025, (800) 266-7845. The Section 504 Compliance Ofcer is the Coordinator of Disability Resource and
Access, 1001 W. Deuce of Clubs, Show Low, Arizona 85901, (800) 266-7845. The lack of English language skills will not be a barrier to admission and participation in vocational education programs.
/Marketing/Forms/Rec & Reg/WUE Application • Revised March 15, 2019
The purpose of the WUE program is to increase the geographical diversity of students in Arizona’s colleges,
strengthen the support for the development of academic programs, and offer Arizona residents
the opportunity to study at participating institutions in other states, including universities.
• Legal resident of one of the following states: Alaska, California, Colorado, Guam, Hawaii, Idaho, Montana,
Nevada, New Mexico, North Dakota, Oregon, South Dakota, Utah, Washington, or Wyoming.
• Tuition for WUE students is 150% of the institution’s in-state tuition.
• Student must re-apply for WUE each semester.
• Student must have a degree intent on ﬁle. (For assistance, contact an NPC Academic Adviser.)
Please Print Legibly
Full Name: Student ID #: Date:
Address: City: State: ZIP:
Current Legal State of Residence: Date Stay Began in AZ:
(Required to live a minimum of one year in Arizona to be eligible for in-state tuition) MM/DD/YYYY
Previous Address: City: State: ZIP:
WUE Application for:
Semester: q Fall q Spring q Summer Year:
I have read all the guidelines of the WUE program and understand failure to comply will constitute loss of
participation in the program. By submitting this form, I certify that the information I provided is accurate. I have
not given false or misleading information, I understand that if it is found to be otherwise, it is sufﬁcient cause for
rejection or dismissal.
Student’s Signature: Date:
Submit this completed WUE Application Form and semester’s registration form to the
NPC Records and Registration Ofﬁce through one of the following options:
• U.S. Mail: NPC Records & Registration Ofﬁce, P.O. Box 610, Holbrook AZ 86025-0610
• NPC Interofﬁce Mail: Records & Registration Ofﬁce, Holbrook – Painted Desert Campus
• Scan & Email: email@example.com • FAX: 928-524-7461
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