Application for Admission

If you are looking at a career in healthcare that makes a real difference in people's lives, WCU's focused approach, personalized skill-building and real-life practical hands-on training is just what you need to achieve your goals.

To take a step toward building your experience, proficiency and confidence in the healthcare field, apply online for the graduate or undergraduate nursing degree programs at West Coast University. Fill out the West Coast University's online application form to kick start your potential journey today!

Personal Information

First Name:

Middle Name:

Last Name:

Email:

Phone:

Zip:

Address:

Apt./#:

City:

State:

Gender:

Birth date:

Birthplace City:

Birthplace County:

Birthplace State:

Citizenship:

Country of Citizenship (if not US citizen):

If you are a non-resident alien, please indicate the non-resident visa status you currently hold:

(clear visa fields)

What race do you consider yourself to be?:*


Are you a veteran?:

Will you be using VA Benefits, Yellow Ribbon or applying for Veteran's assistance to help cover your tuition?:

 

Admission Information

Program:

Campus:

How did you hear about us:

 

Emergency Contact

Full name of contact:

Address:

Phone:

Relationship:

 

Certification & Disclosure

Statement of Disclosure: Have you ever been charged with or convicted of any felony or misdemeanor (other than minor traffic violations) including juvenile charges, drug and alcohol offenses, deferred prosecutions/judgments, and expunged convictions?:

 

eSign Application

First and Last Name required
Signature
Date

 

By clicking above, I consent to receive calls and/or text messages* by a university representative with information for educational opportunities at the number(s) provided above. I understand calls may be initiated by an automated telephone dialing system. I need not grant this consent to receive information or to be eligible to enroll with WCU. I also understand that if I no longer wish to receive text messages from WCU, I can text back "Stop" at any time to unsubscribe from the service. *Standard rates may apply.

Security and Fire Safety Information - Annual Security Report: West Coast University is committed to partnering with students, faculty and associates to create a safe campus community. Information regarding campus security as well as personal and fire safety, that covers topics such as Campus Security Authorities; disciplinary procedures; and crime prevention, reporting, and statistics for the most recent three-year period, is available at westcoastuniversity.edu/general/safety-security.html. You may also request a paper copy of the report by sending your request to safetyandsecurity@westcoastuniversity.edu.

Note: calls may be recorded for quality assurance purposes.

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