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graduate Application

Personal Information

Legal First Name

Middle Name(s)

Date of Birth

Social Security Number (SSN)

Are you a U.S. citizen?

Yes

No

Do you hold permanent resident status? (I-551)

N/A

Yes

No

Do you hold a valid student visa? (F-1)

N/A

Yes

No

Do you have an alien identification number?

N/A

Yes

No

Have you ever been convicted of a felony?

Yes

No

Legal Last Name

Preferred Name(s)

Gender

Female

Male

Other

Confirm SSN

If no, what country are you a citizen of?

If yes, when was it issued?

If yes, what is your visa number?

If yes, what is your A-number?

If yes, provide an explanation.

Contact Information

Email

Primary Phone Number

Permanent Street Address

State

Mailing Street Address

State

Confirm Email

Alternate Phone Number

City

Zip Code

City

Zip Code

Emergency Contact Information

Emergency Contact First Name

Relationship to student

Emergency Contact Primary Phone Number

Emergency Contact Last Name

Emergency Contact Email

Emergency Contact Alternate Phone Number

Demographic Information

Hispanic or Latin American descent?

Yes

No

Unsure

First generation college student?

Yes

No

Unsure

List all races you identify with.

Student Intentions

Classification

If other, please explain.

Residency Status

Start Term

Degree/Program

Are you seeking teacher licensure?

Yes

No

Have you been recruited for athletics?

Yes

No

If yes, which team?

Will you be applying for/using financial aid?

Yes

No

Undergraduate Education

Degrees granted

Date on diploma

Institution Name

Institution Street Address

City

State

Zip Code

Graduate Education

Have you taken graduate courses?

Yes

No

If yes, at what college(s)? (List all)

List any degrees granted

Currently on academic probation/suspension?

Yes

No

Have you ever been dismissed from a college?

Yes

No

If yes, provide an explanation.

How did you learn about USW?

I agree that University of the Southwest may contact me about educational services by phone and text message at the contact information provided. Message & data rates may apply.

*REQUIRED* I agree that University of the Southwest may contact me about educational services by email at the contact information provided.

*REQUIRED* I understand that USW is collecting personal information data that will be protected and used according to its Privacy Policy.Access Privacy Policy

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Hobbs, NM 88240

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Campus Directory

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University of the Southwest

6610 Lovington Hwy

Hobbs, NM 88240

Consumer Information

Non-discrimination policy

University of the Southwest admits students of any race, color, national and ethnic origin to all the rights, privileges, programs, and activities generally accorded or made available to students at the institution. USW does not discriminate on the basis of race, color, national and ethnic origin, physical handicap, or sex in the administration of its educational policies, admission policies, scholarship and loan programs, athletics and other university-administered programs.

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