UndErgradUatE applICatIon for admIssIon

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Undergraduate
Application for Admission
Please attach $65.00 application fee and complete all three pages of the application.
This application is intended for all applicant types who plan to take courses on campus or off campus. All students are encouraged
to complete an application online. Go to apply.wcu.edu for additional applications and instructions.
Your failure to provide complete, accurate and truthful information on this application will be grounds to deny or withdraw your admission
or dismiss you after enrollment.
Contact Information
1. _____________________________________________________________________________________________________________________
Last name
Suffix (Jr., III, etc.}
First
Middle
Former last name, if any
_____________________________________________________________________________________________________________________
Preferred name or nickname
2. _____________________________________________________________________________________________________________________
Mailing address City
_____________________________________________________________________________________________________________________
State
Zip
County
3. Telephone (______)__________________________________
Country
Cell Phone (______) __________________________________________
4. a. Have you been a resident of North Carolina for the past 12 months? (required) o Yes o No
b. Please list address(es) at which you have maintained a permanent (legal) residence during the preceding 18 months
(please show month, day, year):
________________________________________________________________________________ From ______________To_ _______________
Street/Route/P.O. box
City
State
Zip
Dates of residence
________________________________________________________________________________ From ______________To_ _______________
Street/Route/P.O. box
City
State
Zip
Dates of residence
5. _____________________________________________________________________________________________________________________
Employer
Nature of work
Date from
Date to
Telephone
6. E-mail address _ ________________________________________________________________________________________________________
Emergency Contact 7. Name___________________________________________________________________ Relationship to you______________________________
8. _____________________________________________________________________________________________________________________
Street/Route/P.O. Box
City
State
Zip
Applicant Information
9. Gender o Male o Female
10.Date of birth_ ______________________________ Place of birth_ ______________________________________________________________
mm
dd
yyyy
11.Social Security number _______ - ______- __________ (Providing this information is voluntary. It is used only for record-keeping purposes.)
12.Are you a U.S. Citizen? o Yes o No If not a U.S. citizen, country of citizenship _ __________________________________________________
13.If not a U.S. citizen, Visa type, number and expiration date _______________________________________________________________________
14.a. Are you of Hispanic or Latino descent? o Yes o No
b. If not of Hispanic or Latino descent, then please check all that apply:
o White, not of Hispanic origin o Black, not of Hispanic origin o Hispanic American
o American Indian/Alaskan Native o Asian or Pacific Islander o International/other
o Multiracial
15. I am interested in spiritual activities at WCU and my religious preference is_________________________________________________________
Gender/Ethnicity are requested for federal/state reports. Religious preference is optional to help us provide information about your interests. Western Carolina University does not practice or
condone discrimination against applicants on the basis of ethnicity, color, national origin, religion, gender, age, sexual orientation or disability.
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High School Information
16.List all high schools attended for any length of time, whether or not you have completed a term (list most recent first).
High School Attended
17.Have you ever taken the SAT or ACT?
City
State
Zip CodeGraduation Date (month/year)
o Yes o No If yes, give date___________________________________________________________
College Information
18.List all colleges attended in the order of attendance with the most recent listed first. This must include any institution at which you registered
for classes (even if a withdrawal was granted) and those which you will attend prior to enrollment at WCU. Dual enrollment work completed
while in high school should also be listed here. Failure to list prior college course work could result in denial of admission or dismissal.
College Attended
City
StateDate AttendedDegree Received
From
To
Entrance Information
19.Entering term and year:
ccc c-c c
80=August (fall) 50=May (summer) 10=January (spring) (i.e., 2009 - 80 = fall 2009)
20.Entrance status: o Freshman o Transfer o Returning o Early College o Dual Enrollment o Distance Learning o Military
(All other applicants apply online at apply.wcu.edu)
21.Attendance: o Full-time o Part-time
22.Intended academic program (i.e., Z –AS – ANTH – FANT = forensic anthropology)
Refer to the program chart on page A-4 to enter the appropriate code number that pertains to your area(s) of interest. You will have opportunities throughout the
application, advising, and registration processes to make changes.
Primary
Secondary
Z-
c c-ccc c-c c c c
Z- c c - c c c c - c c c c
23.a. Have you previously applied for admission to WCU? o Yes o No If yes, please indicate when_ _____________________________________
b. Are you are first-generation college student? o Yes o No
c. Are you in the Teacher Cadet Program but not being certified at Western Carolina University? o Yes o No
Military Information 24.Have you been in active military service in the past 24 months? o Yes o No
Branch of service______________________________________
25.Are you currently a military dependent or were you a military dependent within the past 24 months? o Yes o No
26.Name of military person____________________________________________ Relationship to you_______________________________________
27.Permanent duty station_____________________________________________ State_ _________________________________________________
28.Are you a veteran? o Yes o No
29.Dates of military service: Begin date_______________________ Anticipated/actual end date___________________________________________
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Required Questions
30.Your “yes” answer to one or more of the following questions will not necessarily preclude your admittance. However, your failure to provide
complete, accurate and truthful information will be grounds to deny or withdraw your admission or to dismiss you after enrollment.
For the purpose of the following questions, “crime” or “criminal charge” refers to any crime other than a traffic-related misdemeanor or an infraction. You must, however, include alcohol or drug offenses whether or not they are traffic related.
1. Have you been convicted of a crime? o Yes o No
2. Have you entered a plea of guilty, a plea of no contest, a plea of nolo contendere, or an Alford plea; or have you received a deferred
prosecution or prayer for judgment continued to a criminal charge? o Yes o No
3. Have you otherwise accepted responsibility for the commission of a crime? o Yes o No
4. Do you have any criminal charges pending against you? o Yes o No
5. Have you ever been expelled, dismissed, suspended, placed on probation or otherwise subject to any disciplinary sanction by any school,
college or university? o Yes o No
6. If you have ever served in the military, did you receive any type of discharge other than an honorable discharge?
o Yes o No o Currently Serving o Never Served
7. Are you eligible to continue at your current or last college attended? o Yes o No
If you answered “yes” to any of the questions above, please write a detailed explanation of the circumstances:
You must promptly notify the Admission Office in writing of any criminal charge, any disposition of a criminal charge or any school, college
or university disciplinary action against you, or any type of military discharge other than an honorable discharge that occurs at any time after you
submit this application. Your failure to do so will be grounds to deny or withdraw your admission or to dismiss you after enrollment.
I understand that the university encourages its students, faculty and staff to display the following traits of citizenship: behavior characterized by
honesty, integrity and responsibility; service to others; awareness of and sensitivity to the concerns of diverse people and cultures; and commitment
to stewardship of the natural and cultural environment. By completing and submitting this application, I agree to the policies and regulations of
Western Carolina University. To the best of my knowledge, the information I have given is true and accurate. I understand my failure to provide
complete, accurate, and truthful information on this application will be grounds for refusal of admission, cancellation of admission or dismissal
from the university.
________________________________________________________________________________________________________________________
Applicant Signature (required)
Date
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Western Carolina University
program chart for admission application
Program
CodesProgram
Codes
Academically Gifted Licensure Distance
Accounting
Anthropology
Anthropology (Forensic)
Art
Athletic Training
Biology
Birth-Kindergarten - Distance
Business Administration & Law
Chemistry
Chemistry (Biotechnology)*
Chemistry (Environmental)*
Coaching
Communication
Communication (Broadcasting)*
Communication (Public Relations)*
Communication Sciences & Disorders BS
Computer Information Systems
Computer Science
Construction Management
Criminal Justice
Criminal Justice - Distance
Electrical & Computer Engineering Technology
Electrical Engineering
Elementary Education Distance UG
Elementary Education
Emergency & Disaster Management
Emergency & Disaster Management - Distance
Emergency Medical Care
Emergency Medical Care - Distance
Emergency Medical Care (Science)*
Engineering Sales & Distribution Certificate
Engineering Technology
Engineering Technology - Distance
English (Literature)*
English (Motion Picture Studies)*
English (Professional Writing)*
English BA
English BSED
Entrepreneurship - BS
Entrepreneurship - BSBA
Environmental Health
Environmental Science
Finance
Finance (Financial Planning)*
Forensic Science
Geology
Geology (Environmental Hydrology)*
Geology (Solid Earth)*
German
Gerontology Certificate
Health Information Administration
History
Hospitality Tourism & Management
Interior Design
Management
EAAIG2
BS-ACCT
AS-ANTH
AS-ANTH-FANT
FP-ART
HH-ATTR
AS-BIOL
EA-BK2
BS-BALW
AS-CHEM
AS-CHEM-BT
AS-CHEM-EC
EA-UNEA-COCH
AS-COMM
AS-CM-BC
AS-CM-PR
HH-CODI
BS-CIS
AS-CS
KS-CM
HH-CJ
HH-CJ2
KS-ECET
KS-EE
EA-ELED2
EA-ELED
HH-EDM
HH-EDM2
HH-EMC
HH-EMC2
HH-SCE
KS-ETSD
KS-ET
KS-ET2
AS-ENGL-LIT
AS-ENGL-MPS
AS-ENGL-PW
AS-ENGL
EA-ENGL
BS-BS-ETP
BS-ETP
HH-ENVH
AS-ES
BS-FIN
BS-FIN-FNP
AS-FSC
AS-GEOL
AS-GEOL-ENVL
AS-GEOL-SE
AS-GERM
HH-GRTG
HH-HIA
AS-HIST
BS-HTM
FP-IDES
BS-MGT
BS-MKT
AS-MATH
EA-MATH
EA-LASS
EA-MALA
EA-MASC
EA-MASS
EA-SCLA
EA-SCSS
FP-MPT
FP-MUS
FP-MUS-CE
FP-MUS-MIO
FP-MGP
EA-MUED-GMU
EA-MUED-IMU
FP-MT
AS-NRM
AS-NRM-FRS
AS-NRM-LSA
AS-NRM-SWR
HH-NURC2
HH-NUR-C5
HH-NTDT
EA-PRM
EA-PRM-CRR
EA-PRM-CR
EA-PRM-OLI
AS-PHIL
EA-PE
AS-POLS
HH-PNUR
GN-PRDN
GN-PRLW
GN-PRMD
GN-PROT
GN-PRPH
GN-PRPT
GN-PRVM
EA-PSY
HH-RETH
HH-SOWK
AS-SOC
AS-SPAN
EA-SPNE
EA-SEGE
BS-SPMG
BS-SPMG-AAD
BS-SPMG-ESF
FP-THEA
FP-THEA-ACT
FP-THEA-DSN
FP-THEA-TPD
GN-UDCL
GN-UDCL2
Marketing
Mathematics
Mathematics in Education
Middle Grade: Language Arts & Social Science
Middle Grade: Math & Language Arts
Middle Grade: Math & Science
Middle Grade: Math & Social Science
Middle Grade: Science & Lang Arts
Middle Grade: Science & Social Science
Motion Picture & Television BFA
Music
Music (Commercial & Electronic Music)*
Music (Music Industry)*
Music (Performance)*
Music Education - General Music
Music Education - Instrumental
Musical Theatre
Natural Resource Conservation Management
Natural Resource Conservation Mgt (Forest Resources)*
Natural Resource Conservation Mgt (Landscape Analysis)*
Natural Resource Conservation Mgt (Soil & Water Conservation)*
Nursing - Capstone - Distance
Nursing RN to MS(N) - Distance
Nutrition/Dietetics
Parks & Recreation Management
Parks & Recreation Mgt (Commercial & Resort Recreation)*
Parks & Recreation Mgt (Community Recreation)*
Parks & Recreation Mgt (Outdoor Leadership & Instruction)*
Philosophy
Physical Education
Political Science
Pre-Nursing
Pre-Dentistry
Pre-Law
Pre-Medicine
Pre-Optometry
Pre-Pharmacy
Pre-Physical Therapy
Pre-Veterinary Medicine
Psychology
Recreational Therapy
Social Work
Sociology
Spanish
Spanish Education
Special Education
Sport Management
Sport Management (Athletic Administration)*
Sport Management (Exercise Science)*
Theatre
Theatre (Acting)*
Theatre (Design)*
Theatre (Technical Production)*
Undeclared/Undecided
Undeclared/Undecided - Distance
*Concentration
Office of Admission | 1 University Drive | Cullowhee, NC 28723 | (828) 227-7317 or toll free (877) WCU-4YOU | admiss@wcu.edu | www.wcu.edu
5,000 copies of this public document were printed at a cost of $1,300.00, or $0.26 per copy. University Publications | 09-074
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