Communication Disorders Undergraduate Program Admission Application
Application Deadline: February 15
Submit this form along with an unofficial transcript indicating a 3.5 minimum grade point average (GPA)
and documentation of highest ACT score to Mary Taylor, 1906 College Heights Blvd # 41030, Bowling
Green, KY 42101-1030. Her office is located in the Health Services Building, Room 1052 if you wish to
submit the application in person.
Date: _______________________
Please type:
Name ___________________________________ WKU ID Number ____________________________
Home Address ________________________________________________________________________
Local Address _________________________________________________________________________
Home Phone _____________________________ Local Phone ________________________________
E-Mail Address (WKU students must use your WKU email) ____________________________________
Are you currently enrolled at WKU?
Are you a transfer student?
_____ Yes
_____ Yes
_____ No
_____ No
From which school did you transfer? ______________________________________________________
If you are not currently enrolled at WKU you must also apply to the Office of Undergraduate
Admissions, Potter Hall and receive confirmation of admission to Western Kentucky University.
Transcripts from the existing school must be reviewed by that office prior to enrolling in the
Communication Disorders program and being assigned an advisor.
Current GPA _________________
Write a brief statement (about 100 words) of why you wish to major in Communication Disorders.
____________________________________
Signature of Applicant
_______________________________
Date
Applicants will be notified of acceptance decisions in mid-late March VIA EMAIL ADDRESS LISTED ON
THIS APPLICATION. Acceptance to the undergraduate CD program is selective. This means that not all
who apply will be accepted as there are limited seats available.