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Contact Information

Contact Name
First Name: Middle Name:
Last Name: Maiden Name:

Address Information
Mailing Address:
City: State:
Zip Code: Phone:
307-000-0000
E-mail:

In the next sections, please indicate your interests.

Fields of Study and Degree (Please mark at least one)

## Undecided ##
Accounting
Ag: General Agriculture
Ag: Rangeland Ecology & Watershed Management
Agri-Business: Beef Production - Certificate
Agri-Business: Farm & Ranch Management
Agricultural Business
Agricultural Economics
Agricultural Education
Animal Science
Art
Biology
Biology: Environmental Science
Business Administration - Non-transfer
Business Administration - Non-transfer (DL)
Business Administration - Transfer
Business Education
Business Office Technology - Certificate
Business Office Technology - Degree
Communication
Cosmetology - Degree
Cosmetology: Hair Technology Certificate
Cosmetology: Nail Technology Certificate
Cosmetology: Skin Technology Certificate
Criminal Justice - Non-transfer
Criminal Justice - Transfer (DL)
Criminal Justice: Corrections
Criminal Justice: Corrections Certificate
Criminal Justice: Law Enforcement
Economics
Education: Early Childcare - Certificate
Education: Early Childhood		 Education: Elementary
Education: Secondary
English
Entrepreneurship
Entrepreneurship - Quick Certificate
Interdisciplinary Studies - AA
Interdisciplinary Studies - AA (DL) + Fin Aid
Interdisciplinary Studies - AA + Fin Aid
Interdisciplinary Studies - AS
Interdisciplinary Studies - AS (DL) + Fin Aid
Interdisciplinary Studies - AS + Fin Aid
Languages (Foreign)
Machine Tool Technology - Certificate
Mathematics
Mathematics Education
Music
Music Education
Phys Ed, Health & Recreation
Plate Welding
Pre-Dentistry
Pre-Medical Technology
Pre-Medicine
Pre-Nursing
Pre-Pharmacy
Pre-Veterinary Medicine
Social Science
Statistics
Veterinary Technology
Welding & Joining - Certificate
Welding & Joining - Degree
Wildlife & Fisheries Biology & Management

Activities & Athletics at EWC

Volleyball (Women)
Basketball (Men)
Basketball (Women)
Golf (Men)
Rodeo (CoEd)
Livestock Judging
Speech/Debate

Extracurricular Activities at EWC

Band
Biology Club
Block & Bridle Club
Campus Activities Board
Campus Ministry
Choir
Cosmetology Club
Creative Writing Club
Criminal Justice Club
Horizons (Adult students)
Housing Council		 Intercollegiate Horse Showing Club
Intramural Activities
Journalism Club
Livestock Judging Club
Phi Theta Kappa
SkillsUSA-Business, Technology & Construction
SkillsUSA-Welding & Machine Tooling
Speech/Debate Club
Student Ambassadors
Student Senate
Veterinary Tech Club