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Online Application
First Name
Middle Name
Last Name
Other Names (that may appear on credentials)
Permanent Address
City
State
Zip
Email
Home Phone
Work Phone
Employer
Date of Birth
US Citizen
Yes
No
If no, U.S. Visa Type
Program Interest
Business Management
Health Care Management
Criminal Justice Management
Human Resources Management
Management of Criminal Justice
Theology
General Studies
Anticipated Date of Enrollement
Weekday Class Preference
Check if you've ever applied to CUW before
If YES - Date of previous application
Result of previous application
 
High School Transcripts or GED are required if you have less than 12 college credits. Request to send one official copy of your transcripts to the Center you plan to attend. List all colleges, universities, military (CLEP,LOMA, ACE-PONSI) from which transcripts will be sent. (Please list all Institutions along with their city, state, and year attended below)
Previous Educational Experience
Last High School Attended
Institutions
Religious Affiliation (Optional)
High School Graduation Date
Check if you have a GED
Ethnic Background (Optional)
Please enter your employment history in the form (From Date, To Date, Employer's Name, Position)
Employment History
Letter of Introduction
Concordia University Wisconsin's adult accelerated program is based upon the premise that mature adults complete an accelerated college program because they have acquired valuable life/work experience. Please include in your essay: 1) what prompted your decision to return to school and 2) your personal and professional goals.
Letter of Introduction
I understand that tuition payments in the Adult Learning Programs are made by the student prior to participating in instructional modules. If a student receives employer reimbursement, it will still be the students responsibility to pay Concordia University before modules begin. The Registrar's Office issues grade reports after each module. Following the Orientation Session to a new program, students will receive a statement for the first term. Students should be prepared to send a check to the Business Office for the assessed amount prior to their beginning the first session of Module I. If the Business Office has not received the payment, students can be denied admission to subsequent sessions. Students expecting to receive grants or loans must have completed the application for these loans with the Office of Financial Aid prior to beginning class. In the event of withdrawal from the module or from the program, students pay for sessions attended. The University will retain 25% or 16% of the tuition for each session attended, depending whether it is a four week or a six week module. Please indicate your arrangement for payment:
 
Arrangement of Payment:
I plan to pay for the program myself. I understand that payment for each module is due by the first night of class.
I plan to apply for financial aid.
I expect to receive reimbursement. (if checked please fill out the two fields below)
I will receive reimbursement from
The terms for reimbursement are as follows
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