Online Application For Enrollment

Note to the Applicant

Your application data is being collected in a secure environment and will be encrypted prior to being transmitted to the School. The bolded fields must be completed. A non-refundable $25.00 application fee (payable online with your credit card) will be collected at the end of the process.

[You may click here to download the application only.]

PART I: PERSONAL DATA

Full Name First, Middle and Last
Home Address
City
Country	(Choose one) United States Canada Other (will update display)
State	(Choose one) Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut D.C. Delaware Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marianas Marshall Islands Maryland Massachusetts Michigan Micronesia Military Americas Military Europe/ME/Canada Military Pacific Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming
Zip/Postal
Home Phone
Business Phone
Email
Permanent Mailing Address for Parcel Delivery (if different from above - but do not provide P.O. Box)
Address
City
State	Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut D.C. Delaware Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marianas Marshall Islands Maryland Massachusetts Michigan Micronesia Military Americas Military Europe/ME/Canada Military Pacific Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming
Zip/Postal
Aliases	Have you ever been known by a name other than the one provided by you at the top of this application?   Yes   No
	If yes, provide all aliases (alternative names) that you have been known by in your lifetime.
Place of Birth
Marital Status	Single   Married   Divorced   Separated   Other
Maiden Name
Social Security No.	(Your SSN will be encrypted to protect your privacy.)
Gender	Male     Female
Birth Date	JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember1234567891011121314151617181920212223242526272829303119131914191519161917191819191920192119221923192419251926192719281929193019311932193319341935193619371938193919401941194219431944194519461947194819491950195119521953195419551956195719581959196019611962196319641965196619671968196919701971197219731974197519761977197819791980198119821983198419851986198719881989199019911992199319941995
Citizenship	U.S. Citizen   Foreign Citizen
Language	Is English your native language?   Yes   No
	If not, what is your native language?
	If English is not your native language, have you successfully completed at least two years of study at an educational institution where the language of instruction was in English?   Yes   No
	Provide the name of that educational institution:
	If English is not your native language, are you a citizen or permanent resident of a country where English is the official language?   Yes   No
	Provide the name of that country:
	If English is not your native language and you have not successfully completed at least two years of study at an educational institution where the language of instruction was in English, and you are not a citizen or permanent resident of a country where English is the official language, have you taken the Test of English as a Foreign Language (TOEFL) or the International English Language Testing System (IELTS) examination within the last two years?   No, I have not taken TOEFL or IELTS but plan to do so (Month/Year To Be Taken)   Yes, I have taken TOEFL or IELTS (Month/Year Taken and Score)
Criminal Convictions	Have you ever been convicted of and/or pleaded guilty or no contest to a crime for which you were sentenced to any time in a jail or prison, even if the jail or prison term was suspended, modified or commuted?   Yes   No Click here: State Bar of California Policy on Criminal Convictions
	Are you now under any charge(s) for any offense(s) against the law?   Yes   No
	Are you currently the subject of any outstanding arrest warrant in any jurisdiction?   Yes   No
	If you answered “yes” to any of the questions related to criminal convictions, offenses and warrants, give details which must include dates, circumstances and location:
Previous Education	Have you ever attended another law school?   Yes   No
	If you have attended another law school, were you in good standing when last enrolled?   Yes   No
	Names of law schools previously attended:
	Were you ever disciplined and/or dismissed from any law school previously attended? Yes   No
	If so, provide the name of the school(s) and the type(s) of discipline and/or dismissal(s) received:
	Have you previously applied to Northwestern California University School of Law?   Yes   No
	If yes, please indicate approximate date(s) of application(s):
	Were you ever enrolled at Northwestern California University School of Law? Yes   No
	If yes, please indicate approximate date of last enrollment: