We'd like to get to know you

Continuing Education Application

Application Type

First Name

Middle Name

Last Name

Suffix

Preferred First Name

What is your birth/maiden name?

Date of Birth

Gender

Personal Email Address

Confirm Personal Email Address

Alternate Email Address

Cell Phone Number

Alternate Phone Number

How do you prefer to be contacted?

Are you a U.S. citizen or permanent resident?

Social Security Number

Please select one

Country of Citizenship

If you are here on a visa, what type of visa is it?

Address

City

State

If your Country of Citizenship is not the United States, please select FA as your State or Province

Zip Code

Racial/Ethnic Background (optional)

Do you consider yourself to be Hispanic/Latino?

Select one or more of the following races:

Military Status

Have you been or are you affiliated with the military?

U.S. Military Status

Military Branch/Organization

National Guard Location

Are you interested in learning more about the National Guard GOLD program as a way of paying for college?

Military Branch/Organization

Are you receiving military benefits?

Which benefits do you receive?

VADoDMilitary State Benefits Program

Please select the VA benefits you receive

Please select the DoD benefits you receive

Please select the Military State Benefits you receive

Service Begin Date

Service End Date

Are you a dependent or spouse of a veteran/active duty military member?

Military Branch/Organization

Work Information

Are you currently employed?

Does your employer provide tuition remission?

Employer's Name

Title

Work Phone Number

Work Email Address

Other

Religious Affiliation (optional)

Have you ever been convicted of a felony?

Please explain the circumstances of your felony conviction

How did you hear about William Woods?

Education History

What is the highest level of education you have completed?

Most Recent School Information

What high school/university do you currently attend, most recently attend, or graduate from? Choose Unknown High School if no match exists for high school or Unknown School if no match exists for university

Unknown High School

If you select Unknown High School, please type in the school's name

If you select Unknown High School, please type in the school's location

What year did you/will you graduate?

Unknown School

If you select Unknown School, please type in the school's name	If you select Unknown School, please type in the school's location

Dates Attended

From

To

Have you attended more than one college/university?

How many colleges/universities have you received credit from?

College Information

List all additional regionally accredited colleges/universities attended (not including the school you listed above). You must list and request official transcripts for all courses taken. Have the schools send your transcripts to:

Office of Registrar

William Woods University

One University Avenue

Fulton, MO 65251

– OR –

transcripts@williamwoods.edu

Faxed copies of transcripts or those issued to students are not considered official. Omitted transcripts may jeopardize admission.

School 2

What college/university do you currently attend, have you previously attended, or did you graduate from? Choose Unknown School if no match

Unknown School 2

If you select Unknown School, please type in the school's name

If you select Unknown School, please type in the school's location

Dates Attended

From

To

— — — — — — — — — — — — — — — — — — — — — — — — — — — — —

School 3

What college/university do you currently attend, have you previously attended, or did you graduate from? Choose Unknown School if no match

Unknown School 3

If you select Unknown School, please type in the school's name

If you select Unknown School, please type in the school's location

Dates Attended

From

To

— — — — — — — — — — — — — — — — — — — — — — — — — — — — —

School 4

What college/university do you currently attend, have you previously attended, or did you graduate from? Choose Unknown School if no match

Unknown School 4

If you select Unknown School, please type in the school's name

If you select Unknown School, please type in the school's location

Dates Attended

From

To

— — — — — — — — — — — — — — — — — — — — — — — — — — — — —

School 5

What college/university do you currently attend, have you previously attended, or did you graduate from? Choose Unknown School if no match

Unknown School 5

If you select Unknown School, please type in the school's name

If you select Unknown School, please type in the school's location

Dates Attended

From

To

— — — — — — — — — — — — — — — — — — — — — — — — — — — — —

School 6

What college/university do you currently attend, have you previously attended, or did you graduate from? Choose Unknown School if no match

Unknown School 6

If you select Unknown School, please type in the school's name

If you select Unknown School, please type in the school's location

Dates Attended

From

To

— — — — — — — — — — — — — — — — — — — — — — — — — — — — —

School 7

What college/university do you currently attend, have you previously attended, or did you graduate from? Choose Unknown School if no match

Unknown School 7

If you select Unknown School, please type in the school's name

If you select Unknown School, please type in the school's location

Dates Attended

From

To

— — — — — — — — — — — — — — — — — — — — — — — — — — — — —

School 8

What college/university do you currently attend, have you previously attended, or did you graduate from? Choose Unknown School if no match

Unknown School 8

If you select Unknown School, please type in the school's name

If you select Unknown School, please type in the school's location

Dates Attended

From

To

— — — — — — — — — — — — — — — — — — — — — — — — — — — — —

School 9

What college/university do you currently attend, have you previously attended, or did you graduate from? Choose Unknown School if no match

Unknown School 9

If you select Unknown School, please type in the school's name

If you select Unknown School, please type in the school's location

Dates Attended

From

To

— — — — — — — — — — — — — — — — — — — — — — — — — — — — —

School 10

What college/university do you currently attend, have you previously attended, or did you graduate from? Choose Unknown School if no match

Unknown School 10

If you select Unknown School, please type in the school's name

If you select Unknown School, please type in the school's location

Dates Attended

From

To

Enrollment Information

When do you intend to begin taking classes?

By clicking submit, I agree that William Woods University can share data with its affiliates. Also, I agree that William Woods and its affiliates may email or contact me regarding educational services by telephone or text message utilizing automated technology at the telephone number(s) provided above.