Current UWO Student Assessment Request

Date*
Date Format: MM slash DD slash YYYY
ID Number*
Name*
First Last
Date of Birth*
MM
DD
YYYY
Email (UW Oshkosh Email)*
Phone number*
Academic Standing*
Current Grade Status*
Permanent Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
County*
Campus Address*
Street Address Address Line 2 City State ZIP Code
Referred By:*
Comments