Admissions bachelor of arts in general studies International Graduate Undergraduate Admissions Western Illinois University

Request to Reactivate Graduate Admission Application
This form is to be completed by those students who have applied to the Graduate School within the last two years but did not attend. If you applied more than two years ago, you should complete the application for new students.

Section I -- Personal Information
Last Name:
First Name:
Middle Name:
Previous Name:
Social Security Number: - -
WIU Identification Number:
(if applicable)
- -
Date of Birth: ,
Military Service: Have you served or are you serving on active duty with the armed forces? If yes, provide dates of service: to
National Guard or Reserve duty?
E-mail Address:
Important information will be sent to this address. Ensure that it is valid.
Confirm Email:
Please re-enter your e-mail address to confirm.
Permanent Address:
Postal Code:
Home Phone: () -
Cell Phone: () -

If your Current Address is the same as your Permanent Address above, leave the following fields blank.
Otherwise, please provide complete Current Address information.

Current Address:
Postal Code:
Phone: () -
Address Valid Until:

Section II -- Application Information
Applying As: 
Degree-Seeking Student
Degree Major:
*Major also available at WIU-Quad Cities campus
**Major ONLY available at WIU-Quad Cities campus

Nondegree-Seeking Student
2nd Bachelors Major:
*Major also available at WIU-Quad Cities campus
**Major ONLY available at WIU-Quad Cities campus
Post Bacc. Certificate:
*Certificate also available at WIU-Quad Cities campus
**Certificate ONLY available at WIU-Quad Cities campus
Applying For:
Location: Macomb campus
WIU-Quad Cities

If you are applying for a different graduate degree major than that on your previous application and already have a personal goals statement and letters of recommendation on file, do you want those documents to be used for admission to the new program?
Not applicable, I am not applying for a different degree program.
Yes, please use all the former documents for the new program major.
No, I will be submitting both new personal goals statement and letters of recommendation.
No, please send the former letters of recommendation but I will submit a new personal goals statement.
No, please send the former personal goals statement but I will submit new letters of recommendation.

Educational History:
List all colleges or universities attended since LAST applying to WIU. Degree-seeking students should request OFFICIAL transcripts be sent from these institutions.
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If you have any questions or comments please let us know
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Verify the following:
By checking this box I certify that I am personally seeking admission to Western Illinois University and all information supplied on this application and all credentials submitted are complete and accurate to the best of my knowledge and belief. I understand that withholding information requested on this application or giving false information on this or any WIU document may make me ineligible for admission to the University or subject to dismissal.

Please take time to review your information before completing your application.
Application information will be immediately submitted once button is clicked.

Board of Trustees International Graduate Student Services
1 University Circle | Sherman Hall 116 | Macomb, IL 61455-1390
Phone: (309)298-1806 | Fax: (309)298-2345 | E-mail:
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