Request for Information

Thank you for your interest in the Julia's Learning at Wingate University program! We are here to help you as you consider the next steps and answer any questions you may have. Complete the interest form, and we will follow up with you soon!

Contact ID

Application ID

Student First Name

Student Last Name

Student Email Address

Student Birthdate

Please enter in the following format: xx/xx/xxxx (10/18/1996)

When do you plan to enroll?

Please select your citizenship type