General Information

This form is for students returning to BW after a 12 month absence. Please see Returning Student Policy.

First Name: *

Last Name: *

Phone: *

First Name (When Last Attended):

Last Name (When Last Attended):

BW Student ID#

Note: If you no longer have access to your student ID number, please call the Registration and Records Office, 440.826.2126 to verify your record.

Home Address: *

City: *

State: *

Zip: *

Email: *

Note: To update academic records, name changes require a copy of your Social Security card, Driver’s License, or legal document with current information.

Returning Program

What Term & Year of last attendance at Baldwin Wallace University:

Term Last Attended: *

Year Last Attended: *

What Term & Year would you like to register for?

Term: *

Year: *

Select Returning Program: *

Other Degrees Earned:

College/ University:

Year:

Returning Graduate Business Student

Program of Interest Type: *

Field of Interest (i.e.- Accounting, Analytics, etc.) *

Returning Graduate Education Student

Program of Interest Type: *

Field of Interest (i.e.- Reading, School Leadership, etc.) *

School District Currently Employed At:

Employer Phone Number

Undergraduate Student

Program of Interest Type *

Field of Interest (i.e.- Major, Licensure Area, etc.)”: *

Student Type Characteristics: *

Other:

Note: An individual may not add a major to a pre-existing degree. For a second baccalaureate, the individual must take at least 30 hours and complete all requirements for the major as they exist at the time the individual seeks the second baccalaureate.

Student Signature

Student Signature *

clear

Date Signed: