UW System Application

01. Which UW campus do you want to attend? *

02. How are you applying? *

03. What semester/term would you like to start attending? *

03. Year you would like to start attending *

04. What major/program do you want to study? *

05. Have you graduated from high school or secondary school, or earned your GED/HSED? *

06. Legal First Name (given) *

06. Middle Name

06. Last (family) Name *

07. Previous name(s) as used on high school/college records

08. Preferred name/Name in use (OPTIONAL)

09. Date of Birth (MM/DD/YYYY) *

09. City of Birth *

09. State/Province of Birth *

09. Country of Birth *

10. Legal Sex *

11. Gender (OPTIONAL)

12. U.S. Social Security Number (strongly encouraged)

12. U.S. Tax Identification Number (if no SSN)

12. Do not have/do not want to provide SSN or TIN

Yes

13. Email Address *

14. Cell/Mobile Number *

15. Other Phone Number (OPTIONAL)

16. I will allow text messages from UW System and the campus to which I am applying

17. Permanent Address - Street/Apt *

17. Permanent Address - City *

17. Permanent Address - Country *

17. Permanent Address - State *

17. Permanent Address - Zip *

18. Mailing Address (if different) - Street/Apt

18. Mailing Address - City

18. Mailing Address - Country

18. Mailing Address - State

18. Mailing Address - Zip

19. Have either of your parents and/or guardians earned a four-year college/university degree? *

20. Are you currently serving in the U.S. Military or a U.S. Military veteran? *

21. Is a parent/guardian or spouse currently serving in the U.S. Military or a U.S. Military veteran? *

22. Are you of Hispanic or Latino/a origin? *

22. If yes, check all that apply:

23. Which of the option(s) below best describe how you identify yourself? (Check all that apply)

24. Are you a U.S. citizen? *

25. If you are not a U.S. citizen, what is your current status for U.S. residency?

25. Permanent Resident Registration Number (if applicable)

25. Current visa type (e.g. F1, J1)

26. Do you believe you are eligible for a waived application fee and/or additional assistance because of financial need or other circumstances?

26. If yes, choose an option that best describes your situation:

27. Do you believe you may qualify for in-state tuition based on Wisconsin residency? *

28. I am not able to provide parent or legal guardian information because I am homeless, in foster care, do not know my parents, or do not have a legal guardian

Yes

28. Parent/Guardian legal first name

28. Parent/Guardian last name

28. Parent/Guardian email

28. Parent/Guardian phone

28. Parent/Guardian relationship

29. Is this parent/guardian a U.S. citizen?

29. If no, visa type

30. Has this parent/guardian physically resided full-time in Wisconsin for the past 12 months?

31. Where is this parent/guardian employed?

32. Has this parent/guardian filed a Wisconsin resident income tax return for the most recent tax year?

33. Was Wisconsin the most recent place this parent/guardian registered to vote or voted?

34. Does this parent/guardian hold a valid Wisconsin driver's license?

35. Parent/Guardian Present Address is the same as applicant

Yes

35. Parent/Guardian Address - Street/Apt

35. Parent/Guardian Address - City

35. Parent/Guardian Address - Country

35. Parent/Guardian Address - State

35. Parent/Guardian Address - Zip

36. Do you live in Wisconsin? *

36. Date began living in Wisconsin (MM/DD/YYYY)

37. Where are you employed?

38. Have you filed a Wisconsin resident income tax return for the most recent tax year?

39. Was Wisconsin the last place you registered to vote or voted?

40. Do you hold a valid Wisconsin driver's license?

41. Did your parent(s)/guardian(s) claim you as a dependent for the most recent tax year?

42. Have you physically resided full-time in Wisconsin for the past 12 months? *

43. Full official school name *

43. High School City *

43. High School State *

43. High School Country *

43. When did you start at this school? (MM/YY) *

43. When will you or when did you graduate? (MM/YY) *

43. I have earned or will earn my HSED or GED

Yes

44. Do you intend to send an ACT and/or SAT score to be reviewed with your application? *

45. Other High School 1 - Full official school name

45. Other High School 1 - City

45. Other High School 1 - State

45. Other High School 1 - Country

45. Other High School 1 - Dates of Attendance

45. Other High School 2 - Full official school name

45. Other High School 2 - City

45. Other High School 2 - State

45. Other High School 2 - Country

45. Other High School 2 - Dates of Attendance

46. Senior Year Course 1 - Full Course Title

46. Senior Year Course 1 - Credits

46. Senior Year Course 1 - Is this an AP course?

Yes

46. Senior Year Course 1 - Is this an IB course?

Yes

46. Senior Year Course 1 - Is this a PLTW course?

Yes

46. Senior Year Course 2 - Full Course Title

46. Senior Year Course 2 - Credits

46. Senior Year Course 2 - Is this an AP course?

Yes

46. Senior Year Course 2 - Is this an IB course?

Yes

46. Senior Year Course 2 - Is this a PLTW course?

Yes

46. Senior Year Course 3 - Full Course Title

46. Senior Year Course 3 - Credits

46. Senior Year Course 3 - Is this an AP course?

Yes

46. Senior Year Course 3 - Is this an IB course?

Yes

46. Senior Year Course 3 - Is this a PLTW course?

Yes

46. Senior Year Course 4 - Full Course Title

46. Senior Year Course 4 - Credits

46. Senior Year Course 4 - Is this an AP course?

Yes

46. Senior Year Course 4 - Is this an IB course?

Yes

46. Senior Year Course 4 - Is this a PLTW course?

Yes

46. Senior Year Course 5 - Full Course Title

46. Senior Year Course 5 - Credits

46. Senior Year Course 5 - Is this an AP course?

Yes

46. Senior Year Course 5 - Is this an IB course?

Yes

46. Senior Year Course 5 - Is this a PLTW course?

Yes

46. Senior Year Course 6 - Full Course Title

46. Senior Year Course 6 - Credits

46. Senior Year Course 6 - Is this an AP course?

Yes

46. Senior Year Course 6 - Is this an IB course?

Yes

46. Senior Year Course 6 - Is this a PLTW course?

Yes

46. Senior Year Course 7 - Full Course Title

46. Senior Year Course 7 - Credits

46. Senior Year Course 7 - Is this an AP course?

Yes

46. Senior Year Course 7 - Is this an IB course?

Yes

46. Senior Year Course 7 - Is this a PLTW course?

Yes

46. Senior Year Course 8 - Full Course Title

46. Senior Year Course 8 - Credits

46. Senior Year Course 8 - Is this an AP course?

Yes

46. Senior Year Course 8 - Is this an IB course?

Yes

46. Senior Year Course 8 - Is this a PLTW course?

Yes

47. College 1 - Name of School/College/University, City, State

47. College 1 - Do you currently attend here?

47. College 1 - Start (mo/yr)

47. College 1 - End (mo/yr)

47. College 1 - Did you, or will you, earn a degree at this institution?

47. College 1 - Degree earned and year

47. College 2 - Name of School/College/University, City, State

47. College 2 - Do you currently attend here?

47. College 2 - Start (mo/yr)

47. College 2 - End (mo/yr)

47. College 2 - Did you, or will you, earn a degree at this institution?

47. College 2 - Degree earned and year

47. College 3 - Name of School/College/University, City, State

47. College 3 - Do you currently attend here?

47. College 3 - Start (mo/yr)

47. College 3 - End (mo/yr)

47. College 3 - Did you, or will you, earn a degree at this institution?

47. College 3 - Degree earned and year

48. College-Level Course 1 - Name of college/university

48. College-Level Course 1 - Semester/Term, Year

48. College-Level Course 1 - Dept. Name

48. College-Level Course 1 - Course Number

48. College-Level Course 1 - Course Title

48. College-Level Course 1 - Number of Credits

48. College-Level Course 2 - Name of college/university

48. College-Level Course 2 - Semester/Term, Year

48. College-Level Course 2 - Dept. Name

48. College-Level Course 2 - Course Number

48. College-Level Course 2 - Course Title

48. College-Level Course 2 - Number of Credits

48. College-Level Course 3 - Name of college/university

48. College-Level Course 3 - Semester/Term, Year

48. College-Level Course 3 - Dept. Name

48. College-Level Course 3 - Course Number

48. College-Level Course 3 - Course Title

48. College-Level Course 3 - Number of Credits

48. College-Level Course 4 - Name of college/university

48. College-Level Course 4 - Semester/Term, Year

48. College-Level Course 4 - Dept. Name

48. College-Level Course 4 - Course Number

48. College-Level Course 4 - Course Title

48. College-Level Course 4 - Number of Credits

48. College-Level Course 5 - Name of college/university

48. College-Level Course 5 - Semester/Term, Year

48. College-Level Course 5 - Dept. Name

48. College-Level Course 5 - Course Number

48. College-Level Course 5 - Course Title

48. College-Level Course 5 - Number of Credits

48. College-Level Course 6 - Name of college/university

48. College-Level Course 6 - Semester/Term, Year

48. College-Level Course 6 - Dept. Name

48. College-Level Course 6 - Course Number

48. College-Level Course 6 - Course Title

48. College-Level Course 6 - Number of Credits

49. Activity 1 - Activity

49. Activity 1 - Leadership role, honors, or awards (if applicable)

49. Activity 1 - When did you participate? (grade 9, 10, 11, 12, post-high school)

49. Activity 1 - Level of involvement

49. Activity 1 - I intend to participate in this activity in college

49. Activity 2 - Activity

49. Activity 2 - Leadership role, honors, or awards (if applicable)

49. Activity 2 - When did you participate? (grade 9, 10, 11, 12, post-high school)

49. Activity 2 - Level of involvement

49. Activity 2 - I intend to participate in this activity in college

49. Activity 3 - Activity

49. Activity 3 - Leadership role, honors, or awards (if applicable)

49. Activity 3 - When did you participate? (grade 9, 10, 11, 12, post-high school)

49. Activity 3 - Level of involvement

49. Activity 3 - I intend to participate in this activity in college

49. Activity 4 - Activity

49. Activity 4 - Leadership role, honors, or awards (if applicable)

49. Activity 4 - When did you participate? (grade 9, 10, 11, 12, post-high school)

49. Activity 4 - Level of involvement

49. Activity 4 - I intend to participate in this activity in college

49. Activity 5 - Activity

49. Activity 5 - Leadership role, honors, or awards (if applicable)

49. Activity 5 - When did you participate? (grade 9, 10, 11, 12, post-high school)

49. Activity 5 - Level of involvement

49. Activity 5 - I intend to participate in this activity in college

49. Activity 6 - Activity

49. Activity 6 - Leadership role, honors, or awards (if applicable)

49. Activity 6 - When did you participate? (grade 9, 10, 11, 12, post-high school)

49. Activity 6 - Level of involvement

49. Activity 6 - I intend to participate in this activity in college

50. Job 1 - Employer

50. Job 1 - Occupation/Job Title

50. Job 1 - City, State

50. Job 1 - Start (mo/yr)

50. Job 1 - End (mo/yr)

50. Job 1 - Hours/week

50. Job 1 - Did you work this job only over summer(s)?

50. Job 2 - Employer

50. Job 2 - Occupation/Job Title

50. Job 2 - City, State

50. Job 2 - Start (mo/yr)

50. Job 2 - End (mo/yr)

50. Job 2 - Hours/week

50. Job 2 - Did you work this job only over summer(s)?

50. Job 3 - Employer

50. Job 3 - Occupation/Job Title

50. Job 3 - City, State

50. Job 3 - Start (mo/yr)

50. Job 3 - End (mo/yr)

50. Job 3 - Hours/week

50. Job 3 - Did you work this job only over summer(s)?

50. Job 4 - Employer

50. Job 4 - Occupation/Job Title

50. Job 4 - City, State

50. Job 4 - Start (mo/yr)

50. Job 4 - End (mo/yr)

50. Job 4 - Hours/week

50. Job 4 - Did you work this job only over summer(s)?

51. Essay (All campuses): Tell us about something you have done—academically or personally—and what you have learned from it. Was it a success or a challenge? Did it represent a turning point in your life? How did this particular moment in your life influence you, and how will it continue to influence you as you pursue your college education? *

52. Second Essay - UW-La Crosse Option: How will your life experiences, commitments, and/or characteristics enrich the UW-La Crosse campus community? OR Tell us why you are interested in attending UW-La Crosse and what aspects of the campus are especially important to you.

52. Second Essay - UW-Madison Option: Tell us why you would like to attend the University of Wisconsin-Madison. In addition, please include why you are interested in studying the major(s) you have selected. If you selected undecided, please describe your areas of possible academic interest.

I certify that the information in this application is true and complete to the best of my knowledge and I understand that inaccurate information may affect my enrollment, tuition or financial aid status. I agree to notify the admissions office, in writing, if there is a change to any of this information, including permanent home address. I also understand that if I have applied for financial assistance, information concerning the amount of financial aid I may be offered may be released to other agencies that may also be considering me for assistance. By filing this application, I authorize my high school to release a transcript of my high school record and any other pertinent information to the University of Wisconsin System. I further authorize the University of Wisconsin System to release my Social Security Number (SSN) or other Taxpayer Identification Number (TIN) and date of birth to any UW Institution. If I enroll at this University, I will abide by its rules and regulations. This application and supporting documents become the property of the University of Wisconsin System. *

Yes

53. Printed legal first and last name *

53. Signature (type your full name to sign) *

53. Date (MM/DD/YYYY) *

UW System Application

SECTION A: Your University of Wisconsin

SECTION B: Your Personal and Contact Information

SECTION C: Your Family Background

SECTION D: Residency

SECTION E: Your High School/Secondary Academic Background

SECTION F: Your College/Post-secondary Academic Background

SECTION G: Your Activities (OPTIONAL)

SECTION H: Your Work Experience (OPTIONAL)

SECTION I: Your Essay

SECTION J: Your Signature