INDIVIDUAL COURSE APPLICATION

Welcome to The College of Westchester Application. Completing and submitting this online application will initiate the process of applying to CW. If you have any questions or problems, don't hesitate to call us at 844.711.6962 or 914.331.0853 or email us at admissions@cw.edu.

Contact Information

First Name

Last Name

Street Address

Apt #, Bldg, FL

Apt#, Blg, FL

City

State

Zip

Country

Cell Phone #

*Cell or Home Phone required

Home Phone #

Social Security #

May we contact you via text messaging?

Personal Information

Date of Birth:

Gender

Female Male Not Specified

Marital Status

Citizenship Status

Do you consider English to be your first language?

Do you consider yourself to be Hispanic or Latino?

Regardless of your answer to the prior question, please select the ethnicity that best describe you

Education Information

Will you/do you have a High School diploma or GED?

High School Diploma GED

Highest level of education completed/attempted:

Emergency Contact

(Emergency Contact is Required)

Emergency Contact Relation

Contact Name

Cell Phone #

*Cell or Home Phone required

Home Phone #

*Cell or Home Phone required Contact1State_txt

Street Address

Apt #, Bldg, FL

Apt#, Blg, FL

City

State

Zip

Individual Credit Course Program

(Please select only one ICC Program for which application is made)

Policy & Attestations

Non-Discriminatory Policy

THE COLLEGE OF WESTCHESTER’S NONDISCRIMINATION POLICY PROHIBITS DISCRIMINATION IN ALL AREAS OF ITS OPERATION. THE COLLEGE OF WESTCHESTER DOES NOT LAWFULLY DISCRIMINATE AGAINST ANY PERSON ON THE BASIS OF RACE, COLOR, RELIGION, SEX, NATIONAL ORIGIN, AGE, HANDICAP, VETERAN STATUS OR SEXUAL ORIENTATION. THIS IS IN COMPLIANCE WITH THE REGULATIONS AND POLICIES OF AFFIRMATIVE ACTION, TITLE IX AND SECTION 504 OF THE REHABILITATION ACT OF 1973.

Today's Date: 1/24/2022

College Catalog and Addenda

The College of Westchester’s College Catalog and Addenda are available at www.cw.edu/cwcatalog

I ACKNOWLEDGE I HAVE RECEIVED AN OFFICIAL COLLEGE CATALOG OR HAVE RECEIVED INFORMATION ON HOW TO ACCESS THE COLLEGE CATALOG ONLINE.

Attestation

I HEREBY APPLY FOR ADMISSION TO THE COLLEGE OF WESTCHESTER AND CERTIFY THAT THE INFORMATION I HAVE PROVIDED IS ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.

I Agree

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