Fields marked with * are mandatory
General

Legal First Name *
*Please enter valid Legal First Name
Preferred Name
*Please enter valid Preferred Name
Middle Name
*Please enter valid Middle Name
Last Name *
*Please enter valid Last Name
Email Address *
*Please enter valid Email Address
Home Address1 *
*Please enter valid Home Address1
Home Address2
*Please enter valid Home Address2
City *
*Please enter valid City
State *
*Please enter valid State
Zip *
*Please enter valid Zip
Country
*Please enter valid Country
Home Phone Number
*Please enter valid Home Phone Number
Cell Phone Number
*Please enter valid Cell Phone Number
Date of Birth
*Please enter valid Date of Birth
Sex *

*Please enter valid Sex
Entry Term
*Please enter valid Entry Term
Student Type



*Please enter valid Student Type
Background

Father's Name
*Please enter valid Father's Name
Mother's Name
*Please enter valid Mother's Name
Brothers (name and/or age)
*Please enter valid Brothers (name and/or age)
Sisters (name and/or age)
*Please enter valid Sisters (name and/or age)
Friends and relatives who have attended NWU
*Please enter valid Friends and relatives who have attended NWU
Academic

Graduation Year *
*Please enter valid Graduation Year
High School
School Name
Address1
Address2
Address3
City
State
Zip
Country
CEEB Code
the school is not listed above
*Please enter valid High School
School Phone Number
*Please enter valid School Phone Number
Self Reported GPA
*Please enter valid Self Reported GPA
Class Rank
*Please enter valid Class Rank
Self Reported SAT
*Please enter valid Self Reported SAT
Self Reported ACT
*Please enter valid Self Reported ACT
Academic Honors
*Please enter valid Academic Honors
Planned course of study
*Please enter valid Planned course of study
Other College Choices
*Please enter valid Other College Choices
Previous college attended
*Please enter valid Previous college attended
Leadership Experiences
*Please enter valid Leadership Experiences
Talisma ID
*Please enter valid Talisma ID
Intended Major
*Please enter valid Intended Major
Athletic

High School Coach's Name
*Please enter valid High School Coach's Name
High School Coach's Phone #
*Please enter valid High School Coach's Phone #
High School Coach's Email
*Please enter valid High School Coach's Email
Club Coach's Name
*Please enter valid Club Coach's Name
Club Coach's Phone #
*Please enter valid Club Coach's Phone #
Club Coach's Email
*Please enter valid Club Coach's Email
Athletic Honors Received
*Please enter valid Athletic Honors Received
Best Times (yards)
*Please enter valid Best Times (yards)
Free
*Please enter valid Free
50 Free
*Please enter valid 50 Free
100 Free
*Please enter valid 100 Free
200 Free
*Please enter valid 200 Free
500 Free
*Please enter valid 500 Free
1000 Free
*Please enter valid 1000 Free
1650 Free
*Please enter valid 1650 Free
Back
*Please enter valid Back
50 Back
*Please enter valid 50 Back
100 Back
*Please enter valid 100 Back
200 Back
*Please enter valid 200 Back
Breast
*Please enter valid Breast
50 Breast
*Please enter valid 50 Breast
100 Breast
*Please enter valid 100 Breast
200 Breast
*Please enter valid 200 Breast
Fly
*Please enter valid Fly
50 Fly
*Please enter valid 50 Fly
100 Fly
*Please enter valid 100 Fly
200 Fly
*Please enter valid 200 Fly
IM
*Please enter valid IM
200 IM
*Please enter valid 200 IM
400 IM
*Please enter valid 400 IM
Current Interest in Nebraska Wesleyan
*Please enter valid Current Interest in Nebraska Wesleyan