Register as a Wisconsin Admissions Volunteer

*Preferred First Name:

*Last Name:

UW-Madison Email Address:

Alternate Email Address:

*UW-Madison NetID (example bbadger):

Racial/Ethnic Heritage: --select an option below-- African American or BlackAmerican Indian/Alaskan NativeOther Hispanic/LatinoOther AsianWhite or CaucasianCambodianCubanVietnameseLaotianPuerto RicanHmongMexicano, Mexicano Americano, ChicanoHawaiian or Pacific IslanderI choose not to respondOther Race

*How did you hear/learn about WAV? --select an option below-- HousefellowOther Housing Staff MemberWAV flyer in housing mailboxFlyer from VolunteerFacebookHousing Resource FairPoster in Campus BuildingFormer ParticipantFriend (enter name below)Other (enter information below)

If you selected "Friend" or "Other" above, please enter more information here:

If you live in a University Residence Hall, select it below --select an option below-- Adams HallBarnard HallBradley HallChadbourne HallCole HallDejope HallElizabeth Waters HallKronshage HallLeopold HallMerit HallOgg HallPhillips HallSellery HallSlichter HallSmith HallSullivan HallSusan Davis HallTripp HallWitte Hall

If you are member of a Residential Learning Community, select it below: --select an option below-- BioHouse Learning CommunityBradley Learning CenterChadbourne Residential CollegeEntrepreneurial Residential Learning CommunityGreen HouseInternational Learning CommunityMulticultural Learning CommunityOpen House: Gender Learning CommunitySubstance-Free HouseThe Studio: Creative Arts & Design Learning CommunityTransfer HouseWomen in Science and Engineering

If you are a transfer student, enter your previous institution below:

If you are fluent in another language, enter the language(s) below:

*City:

*State (only if U.S): --select a state-- Armed Forces Americas (except Canada)Armed Forces (Middle East, Europe, Africa, Canada)AlaskaAlabamaArmed Forces PacificArkansasAmerican SamoaArizonaCaliforniaColoradoConnecticutDistrict of ColumbiaDelawareFloridaFederated States of MicronesiaGeorgiaGuamHawaiiIowaIdahoIllinoisIndianaKansasKentuckyLouisianaMassachusettsMarylandMaineMarshall IslandsMichiganMinnesotaMissouriNorthern Mariana IslandsMississippiMontanaNorth CarolinaNorth DakotaNebraskaNew HampshireNew JerseyNew MexicoNevadaNew YorkOhioOklahomaOregonPennsylvaniaPuerto RicoPalauRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVirginiaVirgin IslandsVermontWashingtonWisconsinWest VirginiaWyoming

*Province (only if Canada): --select a province-- AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon

*Country --select a country-- AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius & SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape Verde/Cabo VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo, The Democratic RepublicCook IslandsCosta RicaCote D'IvoireCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly See (Vatican City State)HondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic Of)IraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's RepKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedonia, fmr Yugoslav Rep ofMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated StatesMoldova, Republic ofMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRepublic of MontenegroReunionRomaniaRussian FederationRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri LankaSt Vincent and the GrenadinesSth Georgia & Sth Sandwich IsSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania, United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUSSR-BIRTH COUNTRY ONLYUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands (British)Virgin Islands (U.S.)Wallis and Futuna IslandsWest BankWestern SaharaYemenZambiaZimbabwe

High School:

*Major(s):

Certificate Program(s):

What types of activities have you been involved in?
(examples: Honors Program, Undergraduate Research, PEOPLE, CAE, POSSE, First Wave, First-Year Interest Groups, Badger Cheese Club, etc.)