esg11.13.19
IMPORTANT: APPLICANTS MUST ATTACH THE REQUIRED DOCUMENT DEMONSTRATING ELIGIBILITY WHEN SUBMITTING THIS APPLICATION
Full Name (Last, First, Middle) Date of Birth (mm/dd/yyyy) Last 4 digits of Social Security No:
Address City State Zip Code
Contact No. Cellphone: Email Address
STATE RESIDENT INFORMATION:
The 15 states participating in WICHE are: Alaska, Arizona, California, Colorado, Hawaii, Idaho, Montana, Nevada, New Mexico, North Dakota,
Oregon, South Dakota, Utah, Washington, and Wyoming. (Note: If you are a resident of the Northern Mariana Islands, this application is not
required. Use the regular admissions application process.)
From which WICHE state are you a resident?
How long have you continuously been a resident of this state as of today?
________Year(s) __________ Month(s)
ELIGIBILITY REQUIREMENTS:
Students must have one (1) year of residency in a qualified WUE/WICHE state. Proof of eligibility can be demonstrated by subm
itting
one
of the
following items:
Front and back copy of current state issued driver’s license or a state issued ID; expired ID will not be accepted
Most recent state income tax return
W2 or vehicle registration
WUE/WRGP WICHE application deadlines: Fall – July 1 | Spring – December 1 | Summer – May 1. Applications received after will be considered
for the future term.
CERTIFICATION:
I certify that the information on this application is complete and correct. I understand that any misrepresentation or falsification is sufficient cause
for denial or cancellation of any benefits derived from this application and could result in other disciplinary action. I further understand that all
documents submitted as part of this application become the property of University of Guam and will not be returned to me, nor duplicated for any
reason. By submitting this application, I am agreeing to the terms of this affidavit.
________________________________________________________ ___________________________
Print and sign Date
FOR OFFICIAL USE ONLY
Application for admission submitted: Yes No
WUE/ WRGP Proof of residency: State issued Driver’s license Most recent state income tax Other: _____
Remarks: _______________________________________________________________________________________________________________________
Application Complete: Yes No Processed by: Date: _____
WUE/WRGP Application
Western Interstate Commission
for
Higher Education
University of Guam - Admissions and Records Office
303 University Drive
Mangilao, Guam 96913
Tel: 735-2208 ● Email: galveze@triton.uog.edu
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