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Graduate Admissions Application

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Full Name*

Other Names on Transcripts

Date of Birth*

Country of Citizenship*

If you are not a US citizen but you live in the US, please indicate your VISA status or permanent resident number.

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 graduateadmission@usw.edu.*

Gender
Male Female

Ethnic Background: *
American Indian or Alaska Native Asian Black or African American
Native Hawaiian or Other Pacific Islander White

Is your ethnic background Hispanic or Latino?

If you answered yes, please select one:

Religious Preference *

What is your expected entrance term? *Do you intend to apply for or use financial aid? *

Yes No

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

Which graduate program are you applying for? *Are you a LEAP Student?

No Yes

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

Do you already have graduate credits?*

If you have already have graduate credits or applying for the DBA, please list where the credits/degree are from.

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

How did you learn about University of the Southwest? *

*If other, please specify:

Submit
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