First Year Admission Application

Application Round (Hidden Field)

Personal Information

First Name

Last Name

Birthdate

Citizenship Type

Primary Citizenship

Contact Information

Email Address

Mobile Phone

May we contact you by text message?

Yes

No

By answering yes and providing your mobile number, you consent to receive notifications from Westfield State University. Reply STOP to unsubscribe. Msg & Data rates may apply. Privacy policy/terms of service may be found here.

Home Address:

Country

Street

City

Region

Postal Code

Is your Home Address different from your Mailing Address?

Yes

No

Mailing Address:

Country

Street

City

Region

Postal Code

Have you been a resident of Massachusetts for the last 12 consecutive months?

Yes

No

Academic Information

What type of student are you? (Hidden)

What applicant type are you applying as?

Do plan to attend WSU full-time, part-time, or online? (Hidden)

When would you like to start at Westfield State?

What do you plan to study?

Do you wish to teach this subject at the middle school or high school level?

Yes

No

Academic Level = UG (Hidden Field)

Please enter your high school below. To complete your application, official transcripts must be submitted from all previous institutions attended.

High School/Secondary School

Please enter your school (type name and select from the list)

CEEB (Hidden)

Date of Graduation (MM/YYYY) (Hidden)

Date Started (MM/YYYY) (Hidden)

Date Attended To (MM/YYYY) (Hidden)

Level of Study (Hidden)

Would you like to waive the SAT/ACT test score requirement? (Hidden)

Yes

No

Housing Information

What is your housing preference?

Housing

Commuter

Special Admission Opportunities (Optional)

Learning Disabilities Program

The Learning Disabilities Program, located in the Banacos Academic Center, is an academic support program for incoming first-time, first-year students who have a primary or secondary diagnosis of a learning disorder and/or ADHD.

Do you wish to be considered for the Learning Disabilities Program?

Yes

No

Urban Education Program

The Urban Education Program is a student support program that provides academic and social assistance to first-generation students through a college readiness summer program and ongoing advising during the academic year. Students accepted into this program are required to complete the five-week Summer Bridge Program prior to enrolling at Westfield State.

Do you wish to be considered for the Urban Education Program?

Yes

No

Disclosures

Have you ever been adjudicated guilty or convicted of a misdemeanor or felony? Note that you are not required to answer "yes" to this question, or provide an explanation, if the criminal adjudication or conviction has been expunged, sealed, annulled, pardoned, destroyed, erased, impounded, or otherwise required by law or ordered by a court to be kept confidential.*

Yes

No

Please provide the approximate date of each incident, explain the circumstances, and reflect on what you learned from the experience.

Have you ever been suspended from high school for disciplinary reasons for more than five (5) days?

Yes

No

Please explain the circumstances of the suspension.

Certification & Submission

1. I understand that once my application has been submitted it may not be altered in any way.

Yes

No

2. I understand that applicants who fail to submit complete, official, original copies of all previous academic credentials are subject to university policies on academic honesty and/or student conduct, which includes rescinding an offer of admission. I also understand that applicants who meet eligibility requirements are not guaranteed admission to the university.

Yes

No

3. I understand that Westfield State reserves the right to rescind an offer of admission or university-sponsored housing eligibility awarded as part of an offer of admission, if, at any time after the submission of an application for admission it acquires information on the basis of which an offer of admission or university-approved housing may have been denied, indicating to University officials that admission or enrollment of an individual may place the safety of the university at risk.

Yes

No

4. I authorize Westfield State University to contact my school to request an Official Transcript be sent for the purpose of completing my application for review by the Westfield State University Office of Admission.

Yes

No

By entering my name in the text field, I understand the information about applicants is furnished to Westfield State will be kept confidential and only will be released to public higher education system personnel authorized by the Massachusetts Department of Higher Education to receive this information, or to educational agencies and institutions for research study purposes. I hereby certify that the information furnished in this application is complete and accurate. Please note: a parent or guardian must be present if the applicant is under the age of 18.

Signature

Signature Date

By Signing and Submitting this application, I certify:
1. My application may not be altered in any way.
2. Failure to submit complete, official, original copies of all previous academic credentials are subject to university policies on academic honesty and/or student conduct, which includes rescinding an offer of admission. I also understand that applicants who meet eligibility requirements are not guaranteed admission to the university.
3. I understand that Westfield State reserves the right to rescind an offer of admission or university-sponsored housing eligibility awarded as part of an offer of admission, if, at any time after the submission of an application for admission it acquires information on the basis of which an offer of admission or university-approved housing may have been denied, indicating to University officials that admission or enrollment of an individual may place the safety of the university at risk.
4. I authorize Westfield State University to contact my school to request an Official Transcript be sent for the purpose of completing my application for review by the Westfield State University Office of Admission.

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