To get started on the admissions process or to simply request information to be mailed to you, use the form below, completing all sections.
Remember, you can also contact Admissions at 1-800-WOW-USCA or send an email to Admissions.
PERSONAL INFORMATION
First Name:
Middle Name:
Last Name:
Social Security Number:
Ethnicity: Select Ethnicity Black or African American Asian Hispanic or Latino American Indian or Alaska Native Native Hawaiian or Other Pacific Islander White
Gender: Male Female
Date of Birth (mm/dd/yyyy):
CONTACT INFORMATION
Street Address:
City:
State: Select a state Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Missouri Mississippi Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
County:
Zip:
Phone:
Email Address:
ACADEMIC INFORMATION
Type of Student: Select Type Freshman (Traditional) Transfer Non-Traditional (never attended college)
Enrollment/Start Term: Select a term Summer 2006 Fall 2006 Spring 2007 Summer 2007 Fall 2007 Spring 2008 Summer 2008 Fall 2008 Spring 2009 Summer 2009 Fall 2009
Name of School Attending/Attended:
City of School Attending:
State of School Attending: Select a state Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Minnesota Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
High School Graduation Date (mm/yyyy):
Intended Major: Select Major Biology Business Administration - Accounting Business Administration - Finance Business Administration - Management Business Administration - Marketing Business Administration - Golf Course Services Chemistry Communications Education - Early Childhood Education - Elementary Education - Secondary Education - Special Ed Engineering English Exercise and Sports Science Fine Arts History Industrial Mathematics Interdisciplinary Studies Mathematics/Computer Science Music Education Nursing Political Science Psychology Sociology Undecided
