Full Name*

Other Names on Transcripts

Date of Birth*

Social Security Number*

Mother's Maiden Name

Current Mailing Address*


City*State*Postal Code*



Home/Primary Telephone (Please do not use any dashes.)*

Cell Phone Number (Please do not use any dashes.)

Email address:*

Have you ever been convicted of a felony or any sexual, narcotics, or drug offense? If yes, please submit an explanation to admission@usw.edu.*
Yes No

Gender
Male Female I do not wish to answer

Ethnic Background: *

Is your ethnic background Hispanic or Latino?
Yes No I do not wish to answer this question

If you answered yes, please select one:

Religious Preference *

What is your expected entrance term? *

I will be a *
Degree Seeking Student Non-Degree Seeking Student

Which graduate program are you applying for? *

Where and when did you earn your Bachelor's degree from? Please list the location of this institution. *

Do you already have graduate credits?*
Yes No

If you have already have graduate credits, please list where the credits are from.

Have you ever been dismissed from a higher education institution? If yes, please submit an explanation to admission@usw.edu.*
Yes No

How did you learn about University of the Southwest? *

*If other, please specify:

Submit

By clicking Submit, I certify that the information provided on this application and all required documentation are true and accurate to the best of my knowledge and understand that omission of falsifications may result in withdrawal of a decision to accept me. I further understand that I must request and provide official transcripts from all previous colleges or universities attended before I may be admitted to a graduate program.

University of the Southwest 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-administrated programs.