MUW Initial Application Form

 

Freshmen Applicants: Please complete this application and send an official copy of high school transcript and ACT/SAT results.

Transfer Applicants: Please complete this application and send official college transcripts. (If you have completed fewer than 12 semester hours of college study, also submit official high school transcripts and ACT/SAT results).

Please send transcripts to:
Director of Admissions
1100 College St. MUW-1613
Columbus, MS 39701-5800
 
Telephone: 1-877-462-8439 ext. 7106

PERSONAL INFORMATION
 
Social Security Number  *Required: Your application will not be processed without a valid social security number. 
Full Name        
First Name  Middle Name Last Name Preferred Name Birth Date
Former Last Name(s) if any        
       
Mailing Address      
Street City State Zip
County Home Phone Mobile Phone E-mail
IM Address      
     

Citizenship?       Type of Visa: 

Are you Hispanic or Latino? Yes No

Marital Status: Never Married Living with Partner Married Widowed Separated Divorced

Parental Status: Children No Children

Number of Children:

U.S. Armed Services veteran? Yes No

Do you have any affiliation with Columbus Air Force Base?  Yes No      If yes, what type of affiliation: 

First language, if other than English:
   Primary language spoken at home

Gender      
Male Female      
Race and Ethnic Group      
American Indian/Alaska Native Black /African American White  
Asian Native Hawaiian or Other Pacific Islander    
This information is used for statistical purposes and to provide information required by the U.S. Department of Education in accordance with applicable federal regulations. Your cooperation in providing this information is appreciated.


FAMILY INFORMATION
Did your mother or father attend college? Yes No
Did your parents graduate from MUW? Yes No
Mother Graduation Date
Father Graduation Date

APPLICANT INFORMATION
*Majors marked with an (*) have teacher certification available.
 

Intended Major(s)

Accounting
Art Education
Biology*
Business Administration with a concentration in Entrepreneurship
Business Administration with a concentration in Management Information Systems
Business Administration with a concentration in General Business
Business Administration with a concentration in Management
Business Administration with a concentration in Marketing
Chemistry
Communication
Culinary Arts
Elementary Education
English*
English with a concentration in Creative Writing
Family Studies
Fine Arts
Fine Arts with a concentration in Graphic Design
Fine Arts with a concentration in Studio Arts
General Studies
History*
Interdisciplinary Studies
Kinesiology* (Physical Education)
Kinesiology with a concentration in Exercise Science
Kinesiology with a concentration in Pre-Physical Therapy
Kinesiology with a concentration in Pre-Occupational Therapy
Legal Studies
Mathematics*
Music with a concentration in General Music
Music with a concentration in Music Education
Music with a concentration in Music Therapy
Nursing Associate of Science (2 Year)
Nursing Bachelor of Science (4 Year)
Physical Sciences*
Political Science
Psychology
Public Health Education
Social Sciences*
Spanish*
Speech Language Pathology
Theatre
Undecided
Undeclared-Seeking teacher certification on first degree

Online Major(s)

2 + 2 Communication Online Degree
Nursing RN to BSN Upgrade
Bachelor of Technology in Professional Studies with a concentration in General Business
Bachelor of Technology in Professional Studies with a concentration in Management Information Systems
Bachelor of Technology in Professional Studies with a concentration in Legal Administration
Bachelor of Science in Business Administration with a concentration in General Business (2+2)
Bachelor of Science in Business Administration (2+2 program)
Public Safety Administration with concentrations in General Business/Fire Science Management
Public Safety Administration with concentrations in Law and Government/Fire Science Management
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
I plan to enter MUW:           Fall    Spring    1st Summer Term    2nd Summer Term    Summer Only   
I plan to enroll as a: Freshman    Sophomore    Junior   Senior
I plan to attend : Full Time     Part Time     Audit

ACADEMIC INFORMATION

High School Attended Graduation Date
  Will receive GED Yes No
City of High School   Did you attend this high school for 4 years? Yes No
State of High School  
Type of School ACT/SAT score
Date of ACT/SAT exam:
In highschool, did you receive any academic honors or participate in extracurricular or Volunteer Activities
Yes No
If yes,please list honors and activities. Please include hours per month spent in volunteer activities.
In highschool, did you qualify for free lunch?
Yes No
I plan to enter MUW as
List All Colleges Attended (Including MUW):
Institution City and State Dates of Attendance Degree
 
Are you interested in living on campus? Yes     No  
 


CERTIFICATION
I certify, to the best of my knowledge, that all information furnished on this form is complete
and accurate. I further understand that the falsification of information can lead to
immediate withdrawal from MUW.

webmaster@muw.edu

Copyright  2012 Mississippi University for Women. All rights reserved.

Revised: August 21, 2012