BSW/MSW 5 Year Application

First Name

Middle Name

Last Name

Social Security Number

Birthdate

Email Address

Mailing Address

Country

Street

City

Region

Postal Code

Home Phone

Cell Phone

Gender

Female

Male

Colleges and universities are asked by many, including the federal government, accrediting associations, college guides, newspapers, and our own college/university communities, to describe the racial/ethnic backgrounds of our students and employees.

Which of the following do you consider to be your racial background? Please check one or more that apply:

Citizenship

Are you a resident of the state of West Virginia?

Yes

No

If yes, how long?

Less than 1 year

1 year

2 years

3+ years

Do you have current or prior military service? (includes veteran, active duty, National Guard, Reserve, and dependents)

Yes

No

If yes, current military status?

Will you be using the VA or GI Bill for Veteran's benefits?

Yes

No

Which Chapter?

Have you ever been convicted of a felony?

Yes

No

If yes, you must provide a letter of explanation with your application.

When do you plan to enroll?

Are you currently attending one of the following universities?

Concord University

West Liberty University

West Virginia State University

What state do you plan to work in upon graduation?

Please indicate the MSW track for which you are applying:

Advanced Standing (BSW +2.75 GPA; 3.0 GPA in Social Work Classes) Full-time

Advanced Standing (BSW +2.75 GPA; 3.0 GPA in Social Work Classes) Part-time

Please provide us with a personal statement. Specific instructions on information to be included in your personal statement can be found here.

Please upload a letter from the academic program.