2015 transfer & postbaccalaureate application for extended education programs

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1 2015 transfer & postbaccalaureate application for extended education programs This application can only be used by students applying to a WWU Extended Education program to pursue a bachelor's degree or postbaccalaureate study. Do not use this application if: 1. You are a former student reapplying to the same program. Contact the program/site for application requirements. 2. You plan to register for Bellingham Summer Session only. Contact the Summer Session Office at (360) or visit Program-specific admission requirements vary. Contact the program/ site to determine specific requirements and the quarters for which they accept applications for admission. Bellingham Extension Programs Communication Sciences & Disorders (postbaccalaureate)... (360) Computer and Information System Security*... (360) Nursing (BSN).... (360) TESOL (certificate)... (360) Vehicle Design (VRI postbaccalaureate)... (360) Bremerton Programs Teacher Education**... (360) Distance Learning Programs Human Services**... (360) TESOL (certificate)... (360) Everett Programs Human Services**... (425) Teacher Education**... (425) Port Angeles Programs Poulsbo Programs Business Administration**... (360) Seattle Programs Teacher Education**... (206) *The CISS degree is articulated with the Associate in Applied Science Transfer degree in Cybersecurity from Whatcom Community College. **Requires completion of a Washington State Direct Transfer Agreement (DTA) associate's degree or WWU's General University Requirements (GUR). If you do not meet either of these requirements, contact the program/site for preliminary review and advisement before applying for admission. Bellingham Campus Contact Numbers Campus Operator (360) Admissions Office...Old Main (360) Extended Education...College Hall (360) Financial Aid Services...Old Main (360) Registrar s Office...Old Main (360) Student Business Office...Old Main (360) All students should contact the appropriate academic program/site for pre-admissions advising and to determine program-specific application requirements before submitting the application. APPLICATION CHECKLIST o Completed application, signed and dated o Nonrefundable $55 application fee o Official transcripts, in sealed envelopes, from all colleges and universities attended APPLICATION DEADLINES Fall Quarter March 1 Winter Quarter October 1 Spring Quarter January 15 Summer Quarter March 1 All application materials postmarked after the deadline will be considered on a space available basis. Not all programs accept applications every quarter. Contact the appropriate program/site to determine the quarters for which they accept applications for admission. FINANCIAL AID For priority consideration, financial aid applicants must submit the Free Application for Federal Student Aid (FAFSA) prior to February 15. The FAFSA is available online at fafsa.gov. For more information, refer to or contact the Financial Aid Office at (360) Western s Title IV code is Western Washington University (WWU), in compliance with applicable laws and in furtherance of its commitment to fostering an environment that welcomes and embraces diversity, does not discriminate on the basis of race, color, creed, religion, national origin, sex, disability, age, veteran status, sexual orientation, gender identity or expression, marital status or genetic information in its programs or activities, including employment, admissions, and educational programs. Inquiries may be directed to the Vice Provost for Equal Opportunity & Employment Diversity, Title IX Coordinator, Equal Opportunity Office, Western Washington University, Old Main 345, MS 9021, 516 High Street, Bellingham, WA 98225; (voice) or 711 (Washington Relay); WWU is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. To request an accommodation in the application process, please contact disability Resources for Students, Old Main 120, (voice) or (VP), One week advance notice appreciated. To request this document in an alternate format, please contact the Associate Director, Office of Admissions, ,

2 WESTERN WASHINGTON UNIVERSITY 2015 transfer & postbaccalaureate application for admission submit with $55 fee to: Western Washington University Office of Admissions 516 High Street, Bellingham, WA admissions.wwu.edu 1. Application Information This application is only for students who have attempted college coursework after high school graduation or GED completion. Visit admissions.wwu.edu/apply for further details. For which quarter are you applying? Check only one. o Winter (January) 2015 o Spring (March) 2015 o Summer (June) 2015 o Fall (September) 2015 Are you applying as a: Have you previously applied for admission to Western? o No o Yes: Quarter/Year Have you previously attended Western? o No o Yes: Last quarter/year at Western 2. Personal Information o Transfer If so, are you transferring directly from a Washington State community college? Social Security Number - - Legal Name o No o Yes o Postbaccalaureate If yes, please specify academic goal: o Teacher Certification only o Second Bachelor's Degree : Indicate if you are applying to an Extended Education Program: o No o Yes Western offers an array of degree and certificate programs throughout the Puget Sound. Students interested in an Extended Education Program should contact the appropriate program/site for pre-admissions advising and to determine program-specific application requirements. By law, providing your Social Security Number is optional, but it speeds up the processing of your admission and financial aid applications. It may also be used for educational research purposes. Releasing student information will be in accordance with all appropriate state and federal laws. Western does not use social security numbers as student identification numbers. Last First Middle Jr., etc. Former Name(s) or Nickname(s): If your first or last name has changed, indicate your former name(s). Also list any nicknames that may appear on transcripts. Last First Middle Jr., etc. Last First Middle Jr., etc. Current Mailing Address o Valid indefinitely o Valid until City County (if you live in Washington) State Zip Month/Day/Year Address Provide a valid address that you check regularly, as Western will important information regarding your admission and enrollment. Home Phone ( ) Cell Phone ( ) Permanent Address (If different from mailing) ( ) City County (if you live in Washington) State Zip Telephone o Male o Female Date of Birth Birthplace Month/Day/Year City State Country (if other than USA) Citizenship: Use this application if you are a U.S. citizen, U.S. permanent resident, political asylee or refugee, or HB 1079/1487 eligible. If you require a non-immigrant Residency: student visa to study in the U.S., you must use the International Student Application instead. o U.S. citizen o U.S. permanent resident A Resident Alien number Date issued o Political asylee or refugee Country of citizenship U.S. visa type Date issued (if applicable) Are you a resident of Washington State? See Residency instructions for details about qualifying for Washington State residency. If yes, dates of most recent continuous residence in WA: from Month/Year Have you ever been convicted of a violent, weapons-related, or drug-related offense; required to register as a sex offender by any legal authority within the U.S.; or are there any felony charges pending against you at this time? If you answered yes, include a letter of explanation with your application for admission. If circumstances arise in the future that render your answers to the above question inaccurate, misleading, or incomplete, you must provide the Office of Admissions with updated information. 08/ pg 1 to Month/Year Do you have a parent or guardian who currently resides in Washington and has lived here twelve (12) months or more? Other personal information Are you the dependent or spouse of an active duty military, State Department, or Foreign Service employee who is a permanent resident of Washington State? Are you on active duty or a U.S. military veteran? Do you plan to use military educational benefits? Have either of your parents earned a bachelor's degree? Have you been in foster care in Washington State for at least one year since your sixteenth birthday? Do you plan to apply for financial aid? Refer to Do you plan to live on campus? Refer to housing.wwu.edu. Detailed housing information is sent to admitted students. o Yes, I accept text messages. Standard text message charges may apply.

3 3. Family Information Parent/legal guardian information is required for students 24 or younger and optional for others. Name First Middle Last Name First Middle Last Relationship to you o Mother o Father o Guardian Is s/he living? (If no, skip to formal education) Telephone ( ) Relationship to you o Mother o Father o Guardian Is s/he living? (If no, skip to formal education) Telephone ( ) Address Address City State Zip Highest level of formal education completed: o Some high school or less o Some college o Bachelor's degree o High school graduate o Associate's degree o Graduate study City State Zip Highest level of formal education completed: o Some high school or less o Some college o Bachelor's degree o High school graduate o Associate's degree o Graduate study Attended WWU? Year Attended WWU? Year Name at WWU, if different Name at WWU, if different Earned a degree from WWU? Year Earned a degree from WWU? Year Other colleges/universities attended Other colleges/universities attended Do you have any other family members who are Western graduates/students? Name(s), relationship to you and year of graduation/expected graduation Do you have any family members who work at Western? Name(s) 4. Race and Ethnicity Western Washington University is required by the U.S. Department of Education to ask you about your ethnic identity. Your response is optional. Information provided here allows Western Washington University to report aggregate data to state and federal agencies as required by law, and may assist in the awarding of privately funded scholarships. In accordance with Washington State law, Western Washington University does not use race, sex, color, ethnicity, or national origin in admission decisions. Are you of Hispanic or Latino origin? Check one or more. Please specify if you indicate Other. o No o Yes, Mexican, Mexican American/Chicano o Yes, Cuban o Yes, Puerto Rican o Yes, other Hispanic or Latino What race/ethnicity do you consider yourself? Check one or more. Please specify if you indicate Other. Asian American: Pacific Islander: African, African American or Black: o Asian Indian o Korean o Guamanian o Black/African American o Cambodian o Laotian o Native Hawaiian o African o Chinese o Thai o Samoan o Caribbean o Filipino o Vietnamese o Japanese o American Indian or Alaska Native Tribal affiliation Are you an enrolled member? o Caucasian or White (Includes persons of European [e.g., French, Italian], Middle Eastern [e.g., Iranian, Saudi Arabian], or North African [e.g., Egyptian, Libyan] heritage) Other than English, what language(s) do you speak fluently? First language(s) Language(s) spoken in your home Language(s) learned through coursework 08/ pg 2

4 5. College Academic History Beginning with your current/most recently attended institution, list all colleges and universities you have ever attended (including in high school). Include an additional page if necessary. DO NOT OMIT or exclude any institution, even if you do not expect to transfer credit. A transcript from each college and/or university is required for your application to be complete. Students who have attended Washington State community colleges are encouraged to have their transcripts sent electronically. Dates of Attendance (Mo/Yr) City State From To # of credits earned term type: qtr or sem degree? Y or N Have you completed fewer than 45 transferable quarter credits (30 semester hours)? If yes: you must submit a final high school transcript and ACT or SAT scores and meet all freshman admissions requirements. Have you taken any AP, IB, Cambridge International, or other advanced courses or exams? If yes: to receive college credit, official scores must be sent by the testing agency. College Degrees: Indicate which degree you have earned/will earn prior to enrollment at Western: o No degree o Washington State community college associate's degree o Direct Transfer Agreement (DTA) associate's degree (often called Associate in Arts and Sciences or Associate in Arts) o Associate in Science (transfer) degree associate's degree o Associate's degree from outside Washington State o Bachelor s degree degree Current and Future Courses If yes, list college/university: Will you be taking classes any time between now and when you plan to enroll at Western? List all courses you are currently or will be taking between now and the time you enroll at Western. (Include an additional page if necessary.) Note: You will need to send updated transcripts prior to enrollment at Western. Courses in Progress Future Courses Future Courses Term: Term: Term: Degree Course Name Credits Course Name Credits Course Name Credits 08/ pg 3

5 6. Pre-College Academic History Check one and indicate dates, actual or proposed: o High School Graduation o GED test Month/Year Month/Year Month/Year High school from which you graduated: High School City, State Dates of attendance (Month/Year) Please report your highest overall SAT and/or ACT score(s). Transfer applicants who have completed fewer than 45 transferable quarter credits (30 semester hours) at the time of application must submit official ACT or SAT scores if they are age 21 or under. American College Test (ACT) (Composite) Scholastic Assessment Test (SAT) (Critical Reading, Math, Writing) 7. Academic Interests If you wish to apply to any of the following extended education programs please indicate the program and site below. Check one program only; applying to more than one location requires separate applications and fees. Degree Program Options: o Business Administration DH01/XBA-BADM Locations: o Poulsbo (PB) o Computer and Information System Security (BS) NC06/XBS-CISS o Elementary Education Teacher Certification Program with Major in Special Education (BAE) EA20/XBAE-SPED o Environmental: o Environmental Policy (BA) 8A35/XBA-EP o Environmental Science (BS) 8A07/XBS-ES Locations: o Everett (EV) o Port Angeles (PA) o Poulsbo (PB) o Human Services 6B01/XBA-HS Locations: o Everett (EV) o Distance Learning (DL) o Nursing (BSN) 3A02/XBSN-NURS Post-Baccalaureate Program Options: o Communication Sciences & Disorders PB02/XPB-CSD o Elementary Education Teacher Certification PB01/XPB-ELED o Vehicle Design Certificate PB04/XPB-VRI Endorsement Only Options (for certified teachers): o Endorsement Program PBEN/X-CP-TXKV Certificate Options: o TESOL Certificate XE06/XTESOL-CER o Distance Learning (DL) 8. Certification of Accuracy Your signature certifies that all information included in and with the application for admission is accurate and complete, and may be verified with an official source, and that you understand that falsified information or misrepresentation will jeopardize admissions status and enrollment privileges. Signature of Applicant (required) Date 08/ pg 4

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