Traditional Application
What type of student are you?
Student Information
First Name
Middle Name
Last Name (Surname)
Suffix
Preferred Name
Other names that may appear on your academic record.
Phone/Email
Home Phone Number
Mobile Phone Number
Email
Confirm Email
Home Country Address
Notice!
This address must match what you have on your passport.
Legal Home Permanent Address
Country
Address Line 1
Address Line 2
City
State
Zip Code
Province
County
Is your current address the same as your home country address above?
Current Address
Biographical Information
Citizenship Status
Country of Citizenship
Birth Country
Sex
Date of Birth
Do you have a Social Security Number?
SSN
Are you Hispanic or Latino?
Select one or more of the following racial categories:
Native Language
Visa Information
Are you a student currently on an F-1 Visa?
Are you on a Visa other than an F-1?
What type of Visa do you currently have?
If currently on a F-1 Visa, what is your completed/anticipated post-secondary education degree date?
If you are already on an F-1 Visa, are you planning on leaving the country before starting graduate school?
Are you currently on Optional Practical Training (OPT)?
If you are currently on OPT, what is the end date listed on your EAD card?
Are you currently outside of the United States and need to apply for an F-1 Visa?
Do you have an active SEVIS record?
Have you ever had a SEVIS record terminated?
If yes to termination, what was the reason?
Admissions Information
Do you plan to be on campus or off campus?
What year do you plan to begin your studies?
What term do you plan to begin your studies?
Enrollment Classification
Anticipated Major
Education Information
Are you a first-generation college student?
Note:
Please include up to 5 most recent institutions previously attended.
School 1
High School/College Attended
Have you graduated?
Graduation Date
Anticipated Graduation Date
Did you earn a GED?
Do you need to add another school?
School 2
School 3
School 4
School 5
Family/Guardian Information
Parent/Guardian Contact 1
Last Name
Address
PO BOX / Apartment Number
Did this contact attend NCWU?
Do you want to add another contact?
Parent/Guardian Contact 2
Sports/Activities
Sports
Select the NCWU sport you are interested in from the dropdown below. You can add up to 5 sports.
Sport Name 1
Do you want to add another sport?
Sport Name 2
Sport Name 3
Sport Name 4
Sport Name 5
Activities
Select the NCWU activity you are interested in from the dropdown below. You can add up to 5 activities.
Activity Name 1
Do you want to add another activity?
Activity Name 2
Activity Name 3
Activity Name 4
Activity Name 5
Additional Information
How did you hear about NCWU?
Have you ever been placed on academic probation, asked to resign or advised to withdraw, warned, suspended, dropped, or expelled for academic reasons from any post-secondary school, college, or university?
Please Explain
Have you ever been charged with or convicted of any crime (even if dismissed), excluding minor traffic violations? The fact that you have a conviction may not automatically disqualify your application for admission.
Description of Charge
Date of Charge
What was the final outcome? If charges are still pending, please note.
Title IX
Pursuant to Title IX of the Higher Education Opportunity Act,
NCWU provides notice of the following:
Title IX Coordinator
Jason Modlin, Ed.D.
Dean of Students
252.985.5404
JModlin@ncwu.edu
Hardees 111
Clery Act
Annual Security and Fire Safety Report Now Available…
The Annual Security & Fire Safety Report is available online at: https://ncwu.edu/campus-life/student-resources/security/
The report contains information regarding campus safety and security including topics such as: campus law enforcement authority; crime reporting policies; campus alerts (Timely Warnings and Emergency Notifications); fire safety policies and procedures; programs to prevent dating violence, domestic violence, sexual assault and stalking; the procedures the University will follow when one of these crimes is reported; and other matters of importance related to security on campus. The report also contains information about crime statistics for the three most recent calendar years concerning reported crimes that occurred on campus; in On-Campus Student Housing Facilities; in Non-campus buildings or property owned or controlled by the University or a recognized student organization; and on public property within, or immediately adjacent to and accessible from, the campus. The report also contains fire statistics for any fires occurring in an On-Campus Student Housing Facility during the three most recent calendar years.
If you would like to receive a paper copy of the Annual Security & Fire Safety Report, you can stop by the Director of Security Office in the Hardees Building at 3400 N. Wesleyan Blvd, Rocky Mount, NC or you can request that a copy be mailed to you by calling 252-985-5585 or emailing security@ncwu.edu.
Read and Acknowledge
I understand and agree that:
The information supplied on my North Carolina Wesleyan University application, was submitted by myself, and all information is true and correct, to the best of my knowledge.
I understand that false or misleading information given on my application will be considered as cause for possible dismissal.
I acknowledge that as a condition of my admission, Wesleyan will conduct a criminal background check on my behalf.
I agree to receive electronic communications, including email and text messages, from North Carolina Wesleyan University. (To opt out, please contact Admissions at 1-800-488-6292.)
I authorize Wesleyan to use my likeness in any or all of its digital and printed communication. (If you do not grant permission for photographs, please submit a signed letter requesting us to withhold public use of name and photo. Not submitting a note signifies acceptance.)
By signing and submitting this application, I indicate my willingness to accept both the responsibilities and privileges of the Honor Code and all other conditions of admissions.
Do you understand and agree to the above Read Acknowledgement?
Date
10/5/2026