Skip to Main Content
Skip to Tabs
Skip to Sub-Tab Navigation
Problem with Login
Sign In
Page Tabs
Home
You are here:
Home
Online Student Application
Online Student Application
Page Options
Personal Information
Start Term
*
:
Select One
2021 - Spring
2021 - Summer
2021 - Fall
2022 - Spring
2022 - Summer
2022 - Fall
2023 - Spring
2023 - Summer
2023 - Fall
2024 - Spring
2024 - Summer
2024 - Fall
2025 - Spring
2025 - Summer
2025 - Fall
2026 - Spring
2026 - Summer
2026 - Fall
2027 - Spring
2027 - Summer
2027 - Fall
2028 - Spring
2028 - Summer
2028 - Fall
2029 - Spring
2029 - Summer
2029 - Fall
2030 - Spring
2030 - Summer
2030 - Fall
2031 - Spring
2031 - Summer
2031 - Fall
2032 - Spring
2032 - Summer
2032 - Fall
2033 - Spring
2033 - Summer
2033 - Fall
2034 - Spring
2034 - Summer
2034 - Fall
2035 - Spring
2035 - Summer
2035 - Fall
Note: Select when you would like to start your services.
Primary Campus
*
:
Select One
Dayton Campus (Dayton, Ohio)
Lake Campus (Celina, Ohio)
Note: Please select campus location where you will be enrolled.
Expected Graduation Term:
Select One
2011 - PRE
2011 - Spring
2011 - Summer
2011 - Fall
2012 - Spring
2012 - Summer
2012 - Fall
2013 - Spring
2013 - Summer
2013 - Fall
2014 - Spring
2014 - Summer
2014 - Fall
2015 - Spring
2015 - Summer
2015 - Fall
2016 - Spring
2016 - Summer
2016 - Fall
2017 - Spring
2017 - Summer
2017 - Fall
2018 - Spring
2018 - Summer
2018 - Fall
2019 - Spring
2019 - Summer
2019 - Fall
2020 - Spring
2020 - Summer
2020 - Fall
2021 - Spring
2021 - Summer
2021 - Fall
2022 - Spring
2022 - Summer
2022 - Fall
2023 - Spring
2023 - Summer
2023 - Fall
2024 - Spring
2024 - Summer
2024 - Fall
2025 - Spring
2025 - Summer
2025 - Fall
2026 - Spring
2026 - Summer
2026 - Fall
2027 - Spring
2027 - Summer
2027 - Fall
2028 - Spring
2028 - Summer
2028 - Fall
2029 - Spring
2029 - Summer
2029 - Fall
2030 - Spring
2030 - Summer
2030 - Fall
2031 - Spring
2031 - Summer
2031 - Fall
2032 - Spring
2032 - Summer
2032 - Fall
2033 - Spring
2033 - Summer
2033 - Fall
2034 - Spring
2034 - Summer
2034 - Fall
2035 - Spring
2035 - Summer
2035 - Fall
Note: Select when you plan to graduate.
First Name
*
:
Last Name
*
:
Middle Name:
Optional: Preferred Name:
Student ID:
Hint: Enter 9 alpha numeric characters.
Birth Date:
Hint: Enter date in the following format Month/Day/Year (i.e. 12/31/2010).
Gender
*
:
Select One
Female
Male
Non-Binary
Not Specified
Transgender
Pronouns:
Select One
He/Him/His
She/Her/Hers
They/Them/Theirs
Contact Information
Primary Phone Number:
Hint: Enter 10-digit number only.
Secondary Phone Number:
Hint: Enter 10-digit number only.
Email Address
*
:
Local Address
Address
*
:
City
*
:
State
*
:
Select One
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
International
Zipcode
*
:
Hint: Enter zipcode as 97331 or 97331-0000.
Permanent Address
Same as Local Address
Address:
City:
State:
Select One
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
International
Zipcode:
Hint: Enter zipcode as 97331 or 97331-0000.
Additional Information
Seeking Degree:
Select One
Certificate
Doctorate of Psychology
Graduate Degree
Medical Degree
Undergraduate Degree
Major:
Select One
Accountancy
Acting
African & African American Studies
Anthropology
Art History
Art Studio
Athletic Training
Biological Sciences
Biomedical Engineering
Business Economics
Career, Technical & Adult Education
Chemistry
Classical Humanities
Clinical Laboratory Science
Communication Studies
Community Health Education
Computer Engineering
Computer Science
Crime and Justice Studies
Dance
Design/Technology-Theatre
Early Childhood Education
Earth & Environmental Science
Economics
Electrical Engineering
English
Finance
Financial Services
French
Geography
German
Greek
History
Human Resource Management
Industrial & Systems Engineering
International Business
International Studies
Latin
Liberal Studies
Management
Management Information Systems
Marketing
Mass Communication
Materials Science & Engineering
Mathematics
Mechanical Engineering
Middle Childhood Education
Motion Pictures
Music
Music Education
Music History and Literature
Music Performance
Nursing
Organizational Leadership
Philosophy
Physical Education
Physics
Political Science
Pre-Professional Programs
Psychology
Rehabilitation Services
Religion
Selected Studies
Sign Language Interpreter
Social Science Education
Social Work
Sociology
Spanish
Sports Science
Statistics
Studio Art
Supply Chain Management
Theatre Studies
Undecided
Urban Affairs
Women's Studies
Affiliation(s)
Affiliation(s)
Boonshoft School of Medicine
Clark State Gateway Program
College Credit Plus
Graduate School
Military- Active Duty or Reserve
Military- Service Connected Disability
Military- Veteran
School of Professional Psychology
Sinclair Wright Path Program
State Vocational Rehabilitation (OOD, BVR, BSVI, etc.)
Ethnicity(ies)
Ethnicity(ies)
American Indian/Alaskan Native
Asian
Black or African-American
Hispanic or Latino
Native Hawaiian or Pacific Islander
White
Additional Note:
Questions
Where did you attend high school? Please provide name of school and location.
*
In high school, did you have any of the following? (Check all that apply.) If you had any of these in high school, please send our office the most recent copy.
IEP
504 Plan
ETR
MFE
Additional Note or Comment
Have you ever attended another college or university? If yes, please list institution name and location.
*
Yes
No
Additional Note or Comment
Did you receive accommodations from your previous institution(s)? If yes, please submit a letter from your previous institution(s) describing the accommodations you received.
*
Yes
No
Additional Note or Comment
Admission to Wright State University is separate from applying for services from our office. Have you applied to the university for admission?
*
Yes
No
Additional Note or Comment
What is the nature of your disability. Please choose all that apply to you:
ADD/ADHD
Aspergers/Autism Spectrum Disorder
Hearing Impairments
Learning Disability
Other (multiple disability, deaf/blind)
Other Health Impaired
Physical Disability
Psychological/Mental Health
Speech/Language Impairment
Traumatic Brain Injury
Visual Impairments/Blindness
Additional Note or Comment
Using your own words, please describe your disability(ies) and how it affects your ability to function in an academic setting.
*
If applicable, please list any adaptive/computer technologies that you will be requesting or using.
*
Please list any additional academic accommodations and services you are requesting.
*
I understand that in order to finalize my eligibility for ODS services/accommodations, I am responsible for submitting documentation of my disability(ies) prior to meeting with an ODS counselor for my pre-service interview. I also understand that the application for Disability Services is independent from my application for admission to Wright State University. Mark YES for electronic signature.
*
Yes
No
Additional Note or Comment
Navigation
Home
Online Services Home
Licensed to
Accessible Information Management LLC
Copyright © 2010-2021 by Haris Gunadi. All rights reserved.