Admissions Application

(A $30.00 application fee must accompany this application)

SECTION I: PERSONAL INFORMATION

*As seen on legal documents
*As seen on legal documents
*As seen on legal documents
Do you have any previous names?*
Date of Birth*
Living Status*
Number of children*
How did you hear about Westcliff University*

SECTION II: RESIDENCY

HOME ADDRESS

Is your mailing address the same as above?*

MAILING ADDRESS

EMERGENCY CONTACT:


FOREIGN ADDRESS:

Do you have a spouse or child that will be applying as an F2 dependent?*

Dependent #1

Dependent 1 Gender*
Dependent 1 Date of Birth*
Would you like to add a second dependent?*

Dependent #2

Dependent 2 Gender*
Dependent 2 Date of Birth*
Would you like to add a third dependent?*

Dependent #3

Dependent 3 Gender*
Dependent 3 Date of Birth*
Would you like to add a fourth dependent?*

Dependent #4

Dependent 4 Gender*
Dependent 4 Date of Birth*
Would you like to add a fifth dependent?*

Dependent #5

Dependent 5 Gender*
Dependent 5 Date of Birth*

SECTION III: PROFESSIONAL EXPERIENCE

Are you currently employed?*

CURRENT EMPLOYMENT

Date of Employment From*
$
Denominated in U.S. dollars
Do you plan to change work hours upon enrollment?*
Do you have previous employment experience?*

PREVIOUS EMPLOYMENT

Date of Employment From 1*
Date of Employment To 1*
$
Denominated in U.S. dollars
Would you like to add additional work experience?*

PREVIOUS EMPLOYMENT

Date of Employment From 2*
Date of Employment To 2*
$
Denominated in U.S. dollars
Would you like to add additional work experience?*

PREVIOUS EMPLOYMENT

Date of Employment From 3*
Date of Employment To 3*
$
Denominated in U.S. dollars

SECTION IV: EDUCATION

Please provide proficient standard exams you have completed


What was the date of the last course you attended at any institution*
Are you a first generation college student*
Please indicate whether you have earned a high school diploma, passed the General Educational Development (GED) test, or completed homeschooling at the secondary level.*


Type Completed*
High School Date of Completion*
Have you taken courses at a community college, college or university, technical or trade school, or other higher education institution?*
Date Attended From*
Date Attended To*
Would you like to add any additional colleges, universities or institutions?*

Additional University Information

Additional College Attended From*
Additional College Attended To*
Would you like to add a third college, university or institution?*

Additional University Information - 2

Additional College 2 Attended From*
Additional College 2 Attended To*
Would you like to add a fourth college, university or institution?*

Additional University Information - 3

Additional College 3 Attended From*
Additional College 3 Attended To*

SECTION V: ACADEMIC PLAN

I am applying for the*
Year of Semester*
Enrollment at Westcliff*

SECTION VI: PERSONAL STATEMENT (Required for all degree program applicants)

Requirements:

  • Applicants must clearly state their full name on the personal statement
  • Personal statements must be a minimum of 250 words
  • Double-spaced
  • Essay format

All degree applicants must submit a personal statement indicating which program they are interested in studying and why they wish to study at Westcliff University. Please highlight any special personal qualifications or personal circumstances such as: citing examples of personal attributes or qualities that will enable completion of study successfully; describing personal determination to achieve goals, initiative and ability to develop ideas, and ability to work independently; listing any background characteristics that indicate overcoming an educational disadvantage (English language learner, family economic history, lack of educational opportunity, disability, etc.).

Note: All statements must be original and authentic. Plagiarized personal statements will result in admissions denial.

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SECTION VII: CERTIFICATION

I hereby affirm that the information provided by me in this application is true and correct, and that there are no omissions or misstatements in my application. I consent to Westcliff University (the "University") taking one or more of the following actions upon discovery, at any time, of any such omission or misstatement of mine in this application: (1) Voiding of my admission & registration to the University; (2) Voiding of credit(s) for course work completed at the University; and (3) Distribution of information relating to such omissions and/or misstatements to other academic institutions, governmental agencies, and other third parties.

I understand that, if admitted to Westcliff University, I must abide by the rules and regulations of the University.

I have received and read a copy of the Westcliff University Catalog, bulletin listing, schedules of fees, and course description.
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By entering my FULL NAME below, I agree and attest to the above certification:

Date / Time*
:  

SECTION VIII: Form Upload (OPTIONAL)

Attach transcript
No File Chosen
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Addtional Transcripts
No File Chosen
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Copy of Diploma / Certificates
No File Chosen
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Transcript English Translation
No File Chosen
File uploads may not work on some mobile devices.
Evidence of English Proficiency
No File Chosen
File uploads may not work on some mobile devices.
Additional documents
No File Chosen
File uploads may not work on some mobile devices.
Copy of Passport
No File Chosen
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Copy of Visa
No File Chosen
File uploads may not work on some mobile devices.
Bank Statements
No File Chosen
File uploads may not work on some mobile devices.
Additional Bank documents
No File Chosen
File uploads may not work on some mobile devices.
EAD Card
No File Chosen
File uploads may not work on some mobile devices.
I20 copy
No File Chosen
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Affidavit of Support
No File Chosen
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SECTION IX: DEMOGRAPHIC INFORMATION

The following information is to be furnished by each applicant as part of the application process. The university is gathering this data to assist in the continuing evaluation of the admissions process. This information will be treated in a confidential manner and will be used only for research purposes. It will not be retained by the university as part of your application.

What is your gender with which you identify*
Which one of the following racial or ethnic groups best describes you*
Would you describe yourself as*
Marital Status*

SECTION X: APPLICATION FEE

Upon completion of the application form and subsequent release forms, you will be prompted to select a payment method. A $30.00 fee must be submitted in order to process your application.

If you have selected to pay your application fee by check, cashiers check or money order, please print this application and mail it with your payment to:

Westcliff University
17877 Von Karman Ave, Suite 400
Irvine, CA 92614
(888) 491-8686


All payment information on our site is securely stored and processed. You are protected by the security features of our website.



AUTHORIZATION TO RELEASE INFORMATION

WESTCLIFF UNIVERSITY

Student Consent for Education Records to be released to Parent(s), Legal Guardian(s), Other Tuition Provider(s), or Other
Indicated Individual(s):

PLEASE READ:

In accordance with the Family Educational Rights and Privacy Act of 1974 (FERPA), the undersigned student hereby permits
Westcliff University and it representatives to disclose the information specified below to the following individual(s) or agency (ies):

This consent shall be valid throughout the student’s enrollment at Westcliff University and thereafter but may be modified or rescinded in writing by the student. The parent(s), legal guardian(s), tuition provider(s), or other indicated individual(s) agree that they shall not disclose the specified information to third parties without the student’s authorization.


INFORMATION TO BE RELEASED:

The following information from my records at Westcliff University may be released to the above-specified persons:*

I have read and understand the contents of this consent form pertaining to the Family Educational Rights and Privacy Act of 1974.

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