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This student would benefit from a DWU education:
(please complete as many fields as possible).

 
Student Name:
Student Address:
Student City:
Student State:
Student Zip:
Student Phone:
Student High School:
Student Graduation Year:

My name and contact information:
(we will not contact a student without a verifiable name here)
 
Name:
Address:
City:
State:
Zip:
Phone:
E-mail address:
Are you a DWU graduate? Yes  No
If so, what year?
How do you know the
student you referred?

 
 
Dakota Wesleyan University
1200 W. University Ave
Mitchell, SD 57301
800-333-8506
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Last updated: 7/25/07
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