Winston Salem State University

Personal Information

First Name (given name): (required) *

Middle Name (if applicable):

Last Name (family name): (required) *

Preferred First Name:

Date of Birth: (required) *

Email Address: (required) *

This email is already being used.

Prospect Information

Term/Semester & Year of Entry into WSSU: (required) *

Student Type: (required) *

What is your intended program of study? (required) *

To select your school from a drop-down list, begin by typing in a key portion of the school name, or the city in which the school is located. School names that match the information entered will then appear in a drop-down list for you to select from.

Where did you go to high school? (required) *

Where did you go to college? (required) *

Primary Contact Information

Country: (required) *

Address Line 1: (required) *

Address Line 2:

City: (required) *

State: (required) *

Zip Code: (required) *

Address Line 1: (required) *

Address Line 2:

City:

Province/State:

Zip/Postal Code:

Permanent Phone Number: Intl # () -

Mobile Phone Number: Intl # () - I would like to receive text messages regarding my application to WSSU.

Confirmation