Newman University & Community College Partnership Application

First Name *

Middle Name

Last Name *

Last 4 SSN *

If you don't have SSN, please enter 0000 in Last 4 SSN field

What program are you interested to enroll in? *

Which term would you like to enroll in? *

Has the student's name changed since attending school? *

Yes

No

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Student's Alternate Name While Attending School
First Name Middle Name Last Name

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Contact Information

Phone Number *

Email Address *

Birthdate *

Mailing Address *

Country

Street

City

Region

Postal Code

Have you ever been convicted of a felony? *

Yes

No

Please explain *

What is your current legal/immigrant status? *

Do you currently hold or are you currently pursuing an Associates Degree? *

Yes

No

If you answered "No" to the last question, you do not meet the requirements to qualify for this program. Please stop and submit a general application to Newman by clicking here.

Degree Issue Date *

School Attended: *

Community College ID Number*

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Add Schools Attended
Please list all the schools from where you have college credit * Level of Study: Level of Study: Undergraduate School Name Student ID

Add Institution

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Transcript Upload
Please upload your unofficial transcript(s)

Add New Transcript

I authorize Newman University to request official transcripts on my behalf from Garden City Community College, Dodge City Community College, and/or Seward County Community college, and I understand that I am responsible for ordering official transcripts from any additional post-secondary institutions through which I've earned college credit.

By signing below, I am attesting that all responses within this application are true to the best of my knowledge.

Thank you for applying to Newman University. In place of your signature, please type your full legal name:

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