UP Program Interest Survey

Thank you for your interest in the UP Program! By completing this form, you are agreeing to receive emails and/or phone calls to get more information about the UP Program and get updates about upcoming events. Questions? You can always contact us by emailing wcuupprogram@gmail.com or calling 828-227-3297.
1.Potential Student Name
2.Parent/Guardian Name(s)
3.Best Email Contact
4.Best Phone Number
5.How did you hear about the UP Program?
6.I am interested in attending college starting in the…
7.I have registered at openhouse.wcu.edu to check out the UP Program and I plan to attend a future Open House on this date:
8.Any other information we should know about the potential applicant?