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Name and Contact Information
First Name
Last Name
Preferred First Name
(if different)
Date of Birth
MM/DD/YYYY
Student Mobile Phone
Home Phone
Email
Verify Email
Street Address
City
State or Province
Please select...
Alabama
Alaska
Alberta
American Samoa
Arizona
Arkansas
British Columbia
California
Colorado
Connecticut
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District of Columbia
Florida
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Hawaii
Idaho
Illinois
Indiana
Iowa
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Kentucky
Louisiana
Maine
Manitoba
Marianna Islands
Marshall Islands
Maryland
Massachusetts
Michigan
Micronesia
Minnesota
Minor Outlaying Islands
Mississippi
Missouri
Montana
Nebraska
Nevada
New Brunswick
Newfoundland and Labrador
New Hampshire
New Jersey
New Mexico
New York
North Carolina
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Northwest Territories
Nova Scotia
Nunavut
Ohio
Oklahoma
Ontario
Oregon
Palau
Pennsylvania
Prince Edward Island
Puerto Rico
Quebec
Rhode Island
Saskatchewan
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Virgin Islands
Washington
West Virginia
Wisconsin
Wyoming
Yukon
Zip/Postal Code
Program and Student Information
I am a:
High School Student or Recent Graduate
Transfer Student
Second Degree/Post Baccalaureate Student
Non-Traditional Freshman
Graduate Student
Other
Anticipated Undergraduate Major/Program:
Please select...
Accounting
Art - Ceramics
Art - Digital Arts
Art - Glassblowing
Art - Painting/Drawing
Art - Photography
Art - Printmaking
Art - Sculpture
Biology
Business
Chemistry
Communication and Emerging Media
Computers - Computer Science
Computers - Informational Technology
Criminal Justice
Education - Early Childhood
Education - High School English
Education - High School History
Education - High School Math
Education - High School Music
Education - High School Political Science
Education - Middle Grades
Education - Physical Education and Health
Education - Secondary
Education - Special Education
Engineering - Regents' Engineering Pathways Program
English - Literature
English - Professional Writing
English - with Teacher Certification
Exercise Science and Wellness
History
History - with Teacher Certification
Human Resource Management
Long Term Care Management
Management
Marketing
Mathematics
Mathematics - Actuarial Science
Mathematics - Computational Science/Engineering
Mathematics - Financial Engineering Option
Mathematics - with Teacher Certification
Music - Choral
Music - Instrumental
Music - Piano
Music - with Teacher Certification
Nursing
Political Science
Political Science - with Teacher Certification
Pre-Dentistry
Pre-Law
Pre-Medical Technology
Pre-Medicine
Pre-Occupational Therapy
Pre-Optometry
Pre-Pharmacy
Pre-Physical Therapy
Pre-Physician's Assistant
Pre-Veterinary
Psychology
Sociology
Undecided/Undeclared
Anticipated Graduate Major/Program:
Please select...
MBA - Business Administration
MS - Computer Science
M.Ed. - Elementary Education
M.Ed. - Middle Grades Language Arts
M.Ed. - Middle Grades Mathematics
M.Ed. - Special Education
Ed.S. - Elementary Education
Ed.S. - Middle Grades Education
Ed.S. - Teacher Leadership (Elementary Education)
Ed.S. - Teacher Leadership (Special Education)
Ed.S. - Teacher Leadership (General Education)
MSN - Family Nurse Practitioner
MSN - Nursing Informatics
MSN - Nursing Leadership
MSN - Nursing Nurse Educator
High School Graduation Year:
Please list alternate student type:
Semester to begin at GSW:
Fall
Spring
Summer
Year to begin at GSW:
High School:
Choose Unknown School if there is no match.
Most Recent College Attended:
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Would you like to provide parent/guardian information to include them in university communication?
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Parent/Guardian Information
Parent/Guardian Information
Parent/Guardian First Name
Parent/Guardian Last Name
Parent/Guardian Phone
Parent/Guardian Email
Parent/Guardian Relationship
Mother
Father
Grandparent
Aunt/Uncle
Sibling
Other
Would you like to provide information for a second parent/guardian?
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No
2nd Parent/Guardian Information
2nd Parent/Guardian First Name
2nd Parent/Guardian Last Name
2nd Parent/Guardian Phone
2nd Parent/Guardian Email
2nd Parent/Guardian Relationship
Mother
Father
Grandparent
Aunt/Uncle
Sibling
Other
Contact Information