FYX 12 Information Form | New Students | Washington University in St. Louis

Legal First Name *

Preferred Name *

Last Name *

Where are you currently living? *

University Housing Building

Room Number

Fall 2021 MSC Number

Off-Campus Address

Please include all pieces of the address, including zip code.

WUSTL Key *

WU ID# *

Cell Phone Number *

Hometown (City, State) *

WUSTL Email Address *

Major / Minor *

Polo Type *

Men's / Unisex Cut

Women's Cut

Please list any dietary restrictions

(Ex: vegetarian, lactose intolerant, gluten free, allergic to nuts, food allergies, etc.)

Please list any allergies

Please list any accommodations you may need

Birthday *

Do you have a valid driver's license? *

Yes

Favorite Snack Food *

Would you be interested in working for the FYC during Summer 2022 (part time or full time) in a student worker/internship capacity? *

Yes

Unsure, but would like to learn more

Do you have access to a physical copy of the following documents: *

Social Security Card

Passport

Permanent Resident Card

Birth certificate

You will only need one of them, but in order for Card Services to legally add you as an employee of WashU, they must have a copy of this for their hiring paperwork.

Please confirm that you will be in attendance for the FYX Kickoff on December 3, 2021 from 6:00PM - 7:30PM *

Yes

Will attend partially (please make note of time of arrival/departure)Will attend partially (please make note of time of arrival/departure)

If you are human, leave this field blank.

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