Dual Enrollment Application

We'd like to get to know you

First Name

Middle Name

Last Name

Suffix

Preferred First Name

Date of Birth

Gender

Personal Email Address

Confirm Personal Email Address

Alternate Email Address

Cell Phone Number

I give permission to William Woods University to send me important updates via text messaging. (Standard message charges apply. Message frequency varies.)

Alternate Phone Number

How do you prefer to be contacted?

Are you a U.S. Citizen?

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 United States, please select FA as your State

Zip Code

Parent/Guardian Information

Parent/Guardian's First and Last Name

Relationship to you

Address

City

State

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

Zip Code

Primary Phone Number

Email Address

How much education did your most educated parent or guardian complete?

Racial/Ethnic Background (optional)

Do you consider yourself to be Hispanic/Latino?

Select one or more of the following races:

Other

Religious Affiliation (optional)

Is your father/mother an employee of our school?

Father/Mother's First Name

Father/Mother's Last Name

How did you hear about William Woods?

Enrollment Information

Most Recent Enrollment Information

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

Unknown High School

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

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

What year will you graduate?

High School Counselor Name

High School Counselor Email

Enrollment Status

When do you intend to begin classes?

Document Upload

Please Upload a PDF of your Transcript.

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.