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Anticipated Enrollment Information
Expected entrance term:
Your university classificaton is: High school dual credit First -time college student Transfer student Non-degree seeking Previously attended USW
You plan on attending: Full time Part time
You plan to: Live on campus or Commute
Please select an anticipated major:
Personal Information Last Name: First Name: Middle Name:
Maiden Name: Preferred Name:
Social Security Number: * If you do no have a Social Security Number Please email the Office of Enrollment Services or complete the Intenatioanl Undergraduate Admission Application.
Mother's Maiden Name:*
Permanent Address: PO Box Number:
City: State: Zip Code:
Phone Numbers: Home Cell Work
Email Address: IM screen Name:
Have you ever been convicted of a felony? Yes No (If YES, please explain on a separate sheet.)
Birthplace: Country of Citizenship:
The University makes available to students of any race, color or national or ethnic origin all the rights, privileges, programs, and activities generally accorded or made available to students. It does not discriminate on the basis of sex, marital or parental status, race, color, religion, age, or national or ethnic origin in the administration of its educational policies, admission policies, financial aid programs, or other University-administered programs.
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