WKU Agriculture & Food Science Open House Registration

* Name (First & Last)

* Address (Street, City, State, Zip)

* Cell Phone Number

* E-mail Address

* High School Graduation Year

* High School Attending

* GPA

WKU Student ID Number (if applicable)

* Concentration Area in Agriculture

Please check the ones you are interested in studying

* Number Attending 1 2 3 4 5 6 7 8 9 10

Please include yourself in the count.