Questionnaires

Fields marked with * are mandatory
General
 *
*Please enter valid Legal First Name
*Please enter valid Preferred Name
*Please enter valid Middle Name
 *
*Please enter valid Last Name
 *
*Please enter valid Email Address
 *
*Please enter valid Home Address1
*Please enter valid Home Address2
 *
*Please enter valid City
 *
*Please enter valid State
 *
*Please enter valid Zip
*Please enter valid Country
*Please enter valid number
*Please enter valid number
*Please enter valid Date of Birth
 *
*Please enter valid Sex
*Please enter valid Entry Term
*Please enter valid Student Type
Background
*Please enter valid Father's Name
*Please enter valid Mother's Name
*Please enter valid Brothers (name and/or age)
*Please enter valid Sisters (name and/or age)
*Please enter valid Friends and relatives who have attended NWU
Academic
 *
*Please enter valid number
*Please enter valid High School
*Please enter valid School Phone Number
*Please enter valid number
*Please enter valid Class Rank
*Please enter valid number
*Please enter valid number
*Please enter valid Academic Honors
*Please enter valid Planned course of study
*Please enter valid Other College Choices
*Please enter valid Previous college attended
*Please enter valid Leadership Experiences
*Please enter valid Intended Major
Athletic
*Please enter valid High School Coach's Name
*Please enter valid High School Coach's Phone #
*Please enter valid High School Coach's Email
*Please enter valid Club Coach's Name
*Please enter valid Club Coach's Phone #
*Please enter valid Club Coach's Email
*Please enter valid Athletic Honors Received
*Please enter valid Best Times (yards)
*Please enter valid Free
*Please enter valid 50 Free
*Please enter valid 100 Free
*Please enter valid 200 Free
*Please enter valid 500 Free
*Please enter valid 1000 Free
*Please enter valid 1650 Free
*Please enter valid Back
*Please enter valid 50 Back
*Please enter valid 100 Back
*Please enter valid 200 Back
*Please enter valid Breast
*Please enter valid 50 Breast
*Please enter valid 100 Breast
*Please enter valid 200 Breast
*Please enter valid Fly
*Please enter valid 50 Fly
*Please enter valid 100 Fly
*Please enter valid 200 Fly
*Please enter valid IM
*Please enter valid 200 IM
*Please enter valid 400 IM
*Please enter valid Current Interest in Nebraska Wesleyan
Personal Contacts
Include any personal contacts you would like to share with this school.These contacts may receive emails, texts or calls for staff at the school.
First
Last
Close