MSAT Application

(Hidden) Student Type

(Hidden) Location

(Hidden) Academic Program

Personal Background

All fields marked with an asterisk (*) are required.

Name

First Name*

Middle Name

Last Name*

Address

Mailing Address*

Country

Street

City

Region

Postal Code

Contact Information

Email Address*

Home Phone

Cell Phone

Preferred Contact Method:*

Biographical Information

Gender:*

Female

Male

Birthdate*

Preferred Language:*

Colleges and universities are asked by many groups, including the federal government, accrediting associations, college guides, and newspapers, to describe the ethnic/racial backgrounds of their students and employees. In order to respond to these requests, we ask you to answer the following two questions.

Please indicate if you are Hispanic or Latino/a?

Please check one or more of the following groups to which you consider yourself to be a member:

Citizenship Information

Please indicate your citizenship.*

Academic History

College(s) Attended

Add every college or university you have previously attended.

School Name*

Country

Street

City

Region

Postal Code

Level of Study:*

Attended From:*

Attended To:*

Academic Plans

Financial Aid Information

Do you plan to apply for Financial Aid?*
If you answer "Yes", you must complete the FAFSA.

Does your current employer offer tuition reimbursement?

Have you applied to Indiana Wesleyan University previously?

Additional Information

Have you ever been convicted of a crime?*

Please Explain:*

Certification

By signing below I certify that all of the information submitted in the application is my own work, factually true, and honestly presented. I authorize all schools attended to release all requested records and authorize review of my application. I understand that I may be subject to a range of possible disciplinary actions, including admission revocation or expulsion, should the information I certified be false. I understand than an offer of admission is conditional, pending receipt of final transcripts showing work comparable in quality to that upon which the offer was based.

Signature:*