* Required

First*required

Middle

Last*required

Name I preferred to be called*required

Email *required

Address 1*required

Address 2

City*required

State*required

Zip*required

Country*required

Phone*required

Date of Birth*required (mm/dd/yyyy)

Social Security Number*required

The following information will be used only in completing statistical reports. The information provided is not used as a part of the admissions decision.

Gender*

Female Male

Race/Ethnicity*required

List all races/ethnicities that apply

NC Resident*

Yes No

US Resident*

Yes No U.S. Permanent Resident (Green Card Holder)

If you are not a U.S. citizen or U.S. permanent resident (green card holder), what is your country of citizenship?

If you are not a U.S. citizen or U.S. permanent resident (green card holder), what is your visa classification?

Have you ever attended Wingate University?*

Yes No

Dates Attended

I am applying as*

First time graduate student Graduate transfer student Non-degree seeking special student

Colleges attended or currently attending (list most current first)

College 1 Name *required

College 1 Address*required

City

State*required

Zip*required

Attended From*required

Attended To*required

College 1 Date of Graduation*required

College 1 Degree(s) and Major(s)*required

College 1 GPA*required

College 2 Name

College 2 Address

City

State

Zip

Attended From

Attended To

College 2 Date of Graduation

College 2 Degree(s) and Major(s)

College 2 GPA

College 3 Name

College 3 Address

City

State

Zip

Attended From

Attended To

College 3 Date of Graduation

College 3 Degree(s) and Major(s)

College 3 GPA

Were you ever suspended or refused re-admission to a college?*

Yes No

If so, state the circumstance

Have you taken the GMAT?*

Yes No

GMAT Date (mm/dd/yyyy)

GMAT Score

Have you taken the GRE?*

Yes No

GRE Date (mm/dd/yyyy)

GMAT Score

Name of current employer*required

Address 1

City

State

Zip

Position

Year in current position

Total # of years of work experience

Does your employer participate in a Tuition Reimbursement Program for students who choose to further their education?

Yes No

How did you hear about our program?*required

I understand that withholding information requested with this application or giving false information gives the Admissions Committee the right to make me ineligible for admission to/or continuation at Wingate University. With this in mind, I certify that the above statements are accurate.

Agree*

Yes

Please send a confirmation email to the address below: