ATHE Guest Student Application - Northwood University Forms

Blue Carpet Day

Name * Required
Given/First Middle/Other Surname/Family/Last
Gender * Required
- Male
- Female
Date of birth * Required
Month
Day
Year
Citizenship (Country) * Required
Country
Permanent/Home address * Required
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone * Required
Preferred Email * Required
Alternate Email * Required
ATHE center * Required
Average ATHE grade * Required
Highest level of ATHE diploma completed * Required
(If currently enrolled, list level currently attending)
Desired Northwood semester start dates
High school/secondary school information * Required
Please enter the name of the last high school/secondary school you attended.
Have you attended any other post-secondary institutions? * Required
- Yes
- No
Name(s) of the other post-secondary institutions you have studied with * Required
Statement of accuracy and terms of application * Required
- I certify that the above statements are true. I agree to abide by the regulations of the institutions named above while I am enrolled. I authorize the release of any records from my home institution which the guest institution may require.
Date * Required
MM slash DD slash YYYY
Name
This field is for validation purposes and should be left unchanged.