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 NWCU. 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
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	JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember1234567891011121314151617181920212223242526272829303119081909191019111912191319141915191619171918191919201921192219231924192519261927192819291930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990
Citizenship	U.S. Citizen   Foreign Citizen
Criminal Convictions	Have you ever been convicted of a crime for which you were sentenced to a year or more of imprisonment?   Yes   No
Previous Education	Have you ever attended another law school?   Yes   No
	If you have attended another law school, were you in good standing there when last enrolled?   Yes   No