WESLEYAN ADVANTAGE APPLICATION
(This form will be processed securely for your protection.)

Full Legal Name:
First Name, Middle Name: ,
Last Name:
Gender: Female    Male
Marital Status:
If Married, Maiden Name:
Birthdate:  /   / 
   
Home Address:
Address:
City:
State, Zip: , -
   
Home Telephone: ( )
Work Telephone: ( ) Ext:
   
Email Address:
   
Employer Name:
Address:
City:
State, Zip: , -
   
Citizenship/Visa Type
U.S. Citizen    Student Visa    Permanent Visa    Other Visa
   
Experience with Nebraska Wesleyan:
Have you previously enrolled at Nebraska Wesleyan? Yes    No
If yes, when?
   
When do you wish to enter?
Semester:
Year:
   
High school information:
Name of high school:
Year of high school graduation:
   
Academic interests or planned course of study:
Intended Major
   
Class Location:
  Omaha   Lincoln
   
List all colleges previously attended (if any)
(In order to complete the admission application process, all colleges/universities you have attended must send an official academic transcript to the address below)
College Name:
Dates of Attendance:
Address:
   
College Name:
Dates of Attendance:
Address:
   
College Name:
Dates of Attendance:
Address:
   

The following is needed by the University for use in a report required by the federal government. Please check the correct category.
 
White, Non-Hispanic
Black, Non-Hispanic
Hispanic
Asian
American Indian/Alaska Native
Native Hawaiian/Pacific Islander
Other
   
Your religious denominational choice (optional):
 
   
Do you plan to apply for financial aid?
  Yes    No
 

If yes, you will need to submit the Free Application for Federal Student Aid through the website, or request a form through the Office of Graduate and Extended Programs (121 SMC) or the Financial Aid Office (304 SMC). In order to complete this admission application process, you must have all colleges/universities you have attended (or your high school if you have not attended college) send an official academic transcript to the address below:

Office of Graduate and Extended Programs
Nebraska Wesleyan University
5000 St. Paul Avenue
Lincoln, Nebraska 68504-2794

402.465.2329 or 800.541.3818 ext. 2329
E-mail:advantage@nebrwesleyan.edu

 
Where did you learn about Wesleyan Advantage?
 
 

By clicking "submit," you certify that to the best of your knowledge, the information furnished in this application is true and complete. I agree that if such information, or any other information upon which my admission is based, is not true or complete, the University may rescind my acceptance. I further agree that I will abide by the rules and regulations of the University including, but not limited to, those rules contained in the current University catalog. I acknowledge that all official transcripts which I forward to the University become the property of the University and will not be forwarded to another institution nor returned to me.

Nebraska Wesleyan University provides equal educational opportunity to all qualified students without regard to race, religion, sex, age, marital status, creed, color, physical disability, or national or ethnic origin. This information is not required and is used for reporting purposes only.

Nebraska Wesleyan University seeks to maintain a supportive academic environment for students with disabilities. To ensure their equal access to all educational programs, activities, and services, Federal law requires that all students with disabilities notify the University, provide documentation, and request reasonable accommodations. If you need accommodations in a course, please notify the instructor so he or she can verify that the required documentation is filed with the Academic Affairs Office and your accommodation plan is in place.

Academic integrity is one of the basic principles of a university community. Nebraska Wesleyan University encourages and expects the highest standards of academic honesty from all students. The Student Code of Conduct states that "cheating, plagiarism, or other forms of academic dishonesty" are subject to disciplinary action. Refer to the Student Code of Conduct for additional information.