Application for Admission

A. Personal Information

First Name:*

Middle Name:

Last Name:*

Email:*

Phone:*

Type of Phone:*
Home Work Cell
Can we text you?

Zip:*

Address:*

Apt./#:

City:*

State:*
Select StateAKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMHMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPASCSDTNTXUTVAVIVTWAWIWVWY

Gender:*
Male Female

Birth date:*

Birthplace City:*

Birthplace County:*

Birthplace State:*

If you are a non-resident alien, please indicate your current immigration status:
Hold currently
Intend to hold while enrolled here

Which immigration status do you intend to hold while enrolled here?:

Citizenship:*
US Citizen US Permanent Resident Other:

Country of Citizenship:*

Are you Hispanic/Latino(a):
Yes No

What race do you consider yourself to be? (indicate one or more):
Alaskan Native or American Indian (Tribal/Nation Affiliation):
African American/Black
Native Hawaiian or Other Pacific Islander
Asian
White
No response

Are you a veteran?:
Yes No

Will you be using VA Benefits, Yellow Ribbon or applying for Veteran's assistance to help cover your tuition?:
Yes No

B. Educational Information

Are you a high school graduate?:*
Yes No

If no, do you have a GED or equivalent to a high school diploma?:
Yes No

Name of high school where you received you high school diploma, GED or equivalent:*

High School graduation date:*
Select Date201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980Pre 1980

List chronologically all postsecondary institutions you have attended or in which you are presently enrolled.

Students are required to submit acceptable entrance exam scores. West Coast University currently accepts the following entrance exams as part of our application for admission.

C. Department Data

For which classes will you be attempting to receive transfer credit as part of your application for admission to WCU?: (Transfer credit conditional on recency requirement as specified for your program in the catalog.)

Anatomy
Math 108
Cultural Pluralism
Statistics

English
Physiology
English II
Sociology

Speech
Life-Span Psychology
Microbiology
BioChemistry (5 units)

List the academic honors, prizes, or awards you have received:

List any professional licensure(s):

For students applying for the LVN to BSN or RN to BSN, is your license current and unobstructed?:
Yes No

License No:

Expiration Date:

Have you previously enrolled in West Coast University?:* Yes No
If yes, when?: mm/yyyy

Statement of Disclosure: Have you ever been charged with or convicted of any felony or misdemeanor (other than minor traffic violations) including juvenile charges, drug and alcohol offenses, deferred prosecutions / judgments, or expunged convictions?:*
Yes No

D. Admission Information

How did you hear about us:*
Select One Internet Print Outdoor Yellow Pages Friend Radio Mail

E. Graduate Applicants
(Only graduate applicants must complete the next section)

List your undergraduate major field of study:

List your undergraduate minor field of study (if any):

Provide your undergraduate and graduate cumulative grade-point average (GPA) and grading scale:
Undergraduate GPA: on a scale; Graduate GPA: on a scale.

* Required Information