Degree Enrollment Application

Thank you for your interest in Southwest University. We look forward to serving you.

  Please complete the following form and click submit below. NOTE: Fields marked with an asterisk (*) are required.
First Name:Last Name: 
* * 
Street Address:  
City:State/Province:Zip Code:
* * *
Birth YEAR (YYYY): 
Please complete at least one of the phone numbers below as well as your email address:
Home Phone:Mobile Phone:Work Phone:
Email Address:  
Best Method to Reach You:Best Time to Reach You: 
Employer Information
Present Employer: Position:
City:State/Province:Zip Code:
Program Information
I am Applying for Admission to the Following Program:

When do you expect to start the program? 
Highest level of education you have completed: 
Formal Education  (Upon acceptance, Official College/University transcripts will be required):
Name of High School:Year Graduated:City:State:
* * * *
If not a high school graduate, you must have earned a GED. If so, enter date received:
College/University Name:Attendance:Degree (or # Credits)Date Graduated:
* * * * *
Tuition assistance: 
Other information, questions, or comments:  
I have read/downloaded the school catalog as posted on the Web site (available here). I understand the Distance Learning concepts utilized by the University. I further understand that a degree cannot be confirmed until all the degree requirements have been met and all financial obligations satisfied.
  do do not wish to have my prior and/or experiential learning evaluated for academic credit to be used to fulfill degree requirements. Credit given for prior and/or experiential learning will be entered into my record and onto a transcript upon graduation.
I understand that admission to any degree program is based on information given in my Application for Enrollment and supporting documents. I hereby give my consent to Southwest University to verify any information furnished by me as deemed by University to be relevant to my application.
Please fax a copy of any transcripts(s) you may have. Our fax number is 504.468.3213.
Processing Fees
Fees to pay now via debit/credit card:
Application Fee
Registration/Enrollment Fee
$200 (Non-Refundable)
Card Processing Fee
$6 (amounts under $100), $15 ($100 and up)
Card Type: Visa     Mastercard     Discover
Card No.:
Name on Card:
Exp. Date [MM/YY]:
If you would rather submit this information via fax, you can print this form and fax it to (504) 468-3213.