Information Day Sign In Q1 Last Name Q2 First Name Q3 Middle Initial Q4 Street Address Q5 City Q6 State/Province Q7 Zipcode Q8 Home phone number Q9 Cell phone number Q10 email address Q11 email address #2 Q12 WSU Access ID (If applicable) Q13 Please indicate the program(s) that you have interest (check all that apply)   Anatomic Pathologists' Assistant Clinical Laboratory Science/Cytotechnology Forensic Investigation Mortuary Science Occupational and Environmental Sciences Occupational Therapy Pharmacy Physician Assistant Studies Physical Therapy Radiologic Technologic Radiation Therapy Technology Q14 Race (Check on box only) Even if you multiracial, please answer this question by indicating either the race you identify with most or the race which you are usually associated in the community   Hispanic Asian or Pacific Islander American Indian, Eskimo or Aleut White (non-hispanic) Black (non-hispanic) Q15 Are you multiracial? For the purposes of this question, you are multiracial if you have parents from more than one of the broad race categories listed above, or if your parents regard themselves as being multiracial.   Yes No Thank you for the interest expressed in our College programs