William Woods University

Office of Student Life New Student Questionnaire

* Required field and must be filled in.

* Student ID No.

Can’t find your Student ID Number? First check your acceptance letter or call either WWU Admissions (573-592-4221) or Student Life (573-592-4239).

* Full Legal Name:
	(last)	(first)	(middle initial)

Home address and Personal Information

* Gender:

Male

Female

* Birthdate:

(mm/dd/yyyy)

* Street:

* City:

* State:

* Zip Code:

Cell Phone

(xxx-xxx-xxxx)

* Home Phone

(xxx-xxx-xxxx)

* E-mail Address

* Verify E-mail Address

* HS Graduation Date

(yyyy)

Emergency Contact Information

* Name
	(last)	(first)	(middle initial)

* Relationship

* Home Phone Number:

(xxx-xxx-xxxx)

Cell Phone Number:

(xxx-xxx-xxxx)

Work Phone Number:

(xxx-xxx-xxxx)

Enrollment Information

* Applying For

Spring 2010

Fall 2010

* Enrollment Status

Transfer

Freshman

* Academic Major

* Have you Registered for Classes?

Yes

Students who attend WWU 101 may register on April 17-18. Otherwise, registration begins May 1. For more information on registering for class, contact Bonnie Carr (573-592-1135, bonnie.carr@williamwoods.edu).

Interests

* Are you interested in participating in Greek Life?

Yes

Undecided

Learn more about Greek Life at William Woods

* Are you a student athlete? Yes No

I will be a player on the William Woods team.

* Immunization Requirements

I understand that I must provide proof of two Mumps, Measles and Rubella immunizations (MMR) to WWU Counseling and Health Services for enrollment at William Woods University.
Download pdf files explaining this process

* Tuberculosis Screening

You are from or have lived for two months or more in Asia, Africa, Central or South America or Eastern Europe.

You have had contact with someone who has tuberculosis.

Neither of the other choices apply to me.

* Housing Status

Resident

Commuter (Non-Resident)