Let’s get to know each other. First Name
Last Name
Preferred First Name
Pronouns: ● He/Him ● She/Her ● They/Them
Home Street Address Apartment Number City State ZIP Code Email Address Mobile Phone (include area code)
May we text you? ● Yes ● No
Country of Citizenship ● USA ● Other
Date of Birth (MM/DD/YYYY)
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Name of Current School Campus Choice: ● Providence, Rhode Island ● Charlotte, North Carolina Intended Entrance Date: ● Spring 2027 ● Fall 2027
● Spring 2028
● Spring 2029
● Fall 2028
● Fall 2029
● Other
Are you currently attending another college and interested in transferring to JWU? ● Yes ● No Did you select an intended major on the back of the card? ● Yes ● No
Johnson & Wales University