Instructions
Legal Full Name
This is the name that appears on official identity documents like your birth certificate and passport.
Title
* First/Given
Middle
* Last/Family/Sur
Suffix
Other Name Information
* Preferred first name
Former last name
Enter all former last names under which records may be filed. Enter only one name per field.
Account Information
* Email address
* Re-enter email address
* Choose a password
Minimum of 12 characters in length with numbers, upper, lower letters and symbols.
* Re-enter password
Current / Mailing Address
* Street address 1
Street address 2
* City
* Country
* U.S. state/Canadian province
Other state/province
* Postal code
Phones
* Primary phone number
Add a second phone number

Add a third phone number
Personal Information
* Legal sex
We are required to collect this information (in this format) by the U.S. Department of Education and the Western Association of Schools & Colleges (WASC).
Gender identity
* Please specify
Pronoun
* Please specify
Social security number
Numbers only. (e.g. 123456789). Required for US Citizens and Permanent Residents applying for financial aid via FAFSA.
* Date of birth
Ethnicity (The Wright Institute is required by the U.S. Department of Education to ask the following questions on ethnicity/race. Please note "Hispanic or Latino" includes persons of Cuban, Mexican, Puerto Rican, South or Central American or other Spanish culture or origin.)
Are you Hispanic or Latino?
Select one or more of the following races if applicable:
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
* How did you hear about the Wright Institute?
APA American Psychologist
APA Guidebook
APA Monitor
Board of Behavioral Sciences
CPA
EAPA
Insider's Guidebook
WPA
Other
Academic Advisor
Friend/Relative
Practicing Psychologist/Colleague
Student at
WI Alumnus/a
WI Faculty
WI Student
Other
* Check the box below.