Direct Admit Supplemental Form

*Denotes a required field

Biographical Information

Name

*First Name

Preferred Name

Middle Name

*Last Name

*Birthdate

Gender/Citizenship

*Gender

Female

Male

Preferred Pronouns

He/Him/His

Prefer not to answer

She/Her/Hers

They/Them/Theirs

*Citizenship Status

I am a U.S. citizen.

I am a dual U.S. citizen.

I am a permanent resident of the U.S.

I am not a U.S. citizen or permanent resident.

HIDDEN Primary Citizenship

*What is your other country of citizenship?

*What is your country of citizenship?

(Hidden) Set Permanent Resident to Yes

Yes

Address and Contact Information

Address

*Mailing Address Block

Country

Street

City

Region

Postal Code

Contact Information

*Email Address

*Mobile Number

Are you being offered admission via The College Board?

Please enter your College Board Code below (it can be found in the email you received):

Parent/Guardian Information

*Parent/Guardian First Name

*Parent/Guardian Last Name

*Parent/Guardian Type

*Parent/Guardian Email

School Information

*High School

INTERNAL CEEB

INTERNAL - Level of Study

Enrollment Information

Entry Term

*Entry Term

Major or Academic Interest

All W&J students complete academic studies in at least two areas (Major/Major or Major/Minor). Please indicate two areas of academic interest. (Not sure what you want to study? No problem! Simply select ‘Undecided.’)

*Major or Academic Interest 1

*Major or Academic Interest 2

Note: Only 40 seats are available in the Nursing program. Students who apply and are admitted to W&J will be selected to the nursing program at a later date. For additional questions, please email admission at admission@washjeff.edu

Pre-Professional Programs

Please let us know if you are interested in a Pre-Professional program.
(click a program to select or use CTRL+click for multiple programs)

Pre-Professional Programs

Residency Status

*Residency Status

Resident

Commuter

Please note that commuters must live within 15 miles of the campus. Commuter status will be approved by the Office of Residence Life.

Activities

*Would you like to submit activities?

Yes

Activity 1

Activity 1 Type

HIDDEN FIELD - Activity 1 Name (Sets the Activity Name equal to Activity Type)

*Would you like to submit a second activity?

Yes

Activity 2

Activity 2 Type

HIDDEN FIELD - Activity 2 Name (Sets the Activity Name equal to Activity Type)

*Would you like to submit a third activity?

Yes

Activity 3

Activity 3 Type

HIDDEN FIELD - Activity 3 Name (Sets the Activity Name equal to Activity Type)

Materials

Are you able to upload your high school transcript now?

Yes

Use the form below to upload your high school transcript.

High School Transcript

UPDATE YEARLY - Set Round for current Fall RD (Freshman) '24

UPDATE YEARLY - Set Application Entry Term Field for current Fall RD (Freshman) '24

UPDATE YEARLY - Set Round for current Fall RD (Freshman) '25

UPDATE YEARLY - Set Application Entry Term Field for current Fall RD (Freshman) '25

INTERNAL set Influence to Apply

INTERNAL set Applicant Student Type

INTERNAL set Anticipated Student Type

INTERNAL Application Status Submitted

INTERNAL App Round Always Create