Online Application for Admission
Middle Name or Initial:
Maiden Name:
(if applicable)
Preferred Name:
Permanent Mailing Address:
(if different from above)
City:
State:
Zip:
Birth Date:
Social Security Number:
Name of Legal Guardians:
(if a dependant)
Guardian's Social Security Number:
(if a dependant)
(please indicate guardian's first name as well)
Personal Information (optional–answering this section will not increase or decrease your chances for admission)
Gender: Male      Female
Race/Ethnicity:
Marital Status: Single     Married
Spouse's Name:
(if applicable)
Would you like to apply for the Merit Scholarship?
(On-campus applicants only. See website for details.)		 Yes    No
Would you like to be contacted about financial aid opportunities?
(more info)		 Yes    No
Do you or your parents\guardians qualify for the G.I. Bill?
(more info)		 Yes    No
Degree you are seeking:* Bachelor of Arts degree in:


Master of Arts degree in:



Doctorate degree in:
Applying for:* On-campus
Distance Studies
Extension Studies\Statesmanship Seminars
Beginning Semester:* Fall    Winter    Summer   
Please list the colleges and/or universities previously attended (including GWC, if applicable) beginning with the most recent. Undergraduate applicants should also list institutions of secondary education.
A. School Name:
  Location:
  Major:
  Dates Attended:
  Degree:
     
B. School Name:
  Location:
  Major:
  Dates Attended:
  Degree:
     
C. School Name:
  Location:
  Major:
  Dates Attended:
  Degree:
Application Fee:
Card Type:
Expiration Date:
Name on Card:

Same as Mailing Address
I certify that all materials provided as part of the admissions process (excluding letters of recommendation) are my own work and are complete and accurate to the best of my knowledge. I understand and agree that any misrepresentation or omission of facts in my application may result in a rejection of this application for admission.

I authorize George Wythe College to collect the appropriate application fee using the charge\credit card information I have provided, including a $25 late fee if I am applying after the posted application deadline. I understand that these fees are non-refundable and non-transferable.
 
  * Required Fields