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Request Information

We appreciate your interest in Northwest College. Please fill up the form below so we can respond with materials that most appropriately match your needs. If you have any problems filling out the form, please do not hesitate to send West Hernandez in Enrollment Services an email. He will be glad to help you out.

Please note the required fields*. Please do not use any nicknames.

Personal Information

First Name: (*)
Last Name: (*)
Suffix:
Date of Birth: (*)
Gender (*): Male Female

Educational Background

High School Graduate G.E.D

Graduation Year: (*)
School Attended: (*)

Specify your status

: US International

Contact Information

Phone: (*)
Cell Phone:
May we text message you?: Yes No
Email:

Address: (*)
Address (cont'd):
City: (*)
State: (*)
Zip: (*)

Your interest in Northwest College

Intended Major: (*)
Optional Intended Major: (*)
Optional Intended Major: (If the above lists don't match your interest, please use this field)

Activities & Athletics

Check as many as you want:

Club Soccer

Equine Judging and Showing

Forensics

Livestock Judging and Showing

Men's Basketball

Men's Wrestling

Men's and Women's Rodeo

Special Interests

Check as many as you want:

Adult Continuing Education Services

Child Care

Honors Program

Student Success-Tutoring

Other Information

Educational Objective (*)
For what semester are you applying (*)
How did you hear of NWC?

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