The application should be completed and mailed with the
non-refundable $50 application fee (check or money order
payable to Westfield State University) or you may apply and
pay the fee online at westfield.ma.edu/apply
333 Western Avenue P.O. Box 1630 Westfield, MA 01086 (413) 572–5218 westfield.ma.edu email@example.com
For Full-Time Undergraduate
You are a freshman applicant if you are applying to Westfield State University directly from high school and have never attended college. See the Freshman Application checklist for a list of required documents.
You are a transfer applicant if you have attempted any college course work following high school graduation. See the Transfer Application checklist for a list of required documents.
Students who are attempting their first term of college course work beyond high school graduation at the time of application are advised that an admission decision will not be made until a final official college grade report or transcript for the term in progress is received. Because this requirement is difficult to meet within the time allowed for admission processing, especially for January term applicants, we require students to complete at least 12 transferable credit hours before submitting an application to transfer. First semester college freshmen will not meet this requirement.
Students eligible to transfer under terms of the MassTransfer Program during this application cycle may file the MassTransfer Enrollment Form in lieu of this application during the semester preceding their intended enrollment date at Westfield.
MassTransfer students are required to submit official original transcript from all colleges previously attended.
INTERNATIONAL APPLICANTS AND PERMANENT RESIDENTS International applicants must meet the same admission require-ments established for freshman or transfer applicants. Additional required documents include, where applicable: Official English
translations of all secondary and post-secondary school transcripts and examination results; official copy of the Test of English as a Foreign Language (TOEFL) or the International English Language Testing System (IELTS) for students whose native language is not English; Certification of Finances Form and a bank statement; English translations of course descriptions and school accreditation information; and a photocopy of the applicant’s current Visa. Transfer applicants also must submit a copy of their current I-20. The deadline for filing the fall semester application is March 1. Permanent Resident applicants with academic credentials from institutions outside of the U.S. must have their documents evaluated in the same manner as international applicants (described below). Additionally, Permanent Residents must submit a copy of both sides of their Alien Registration Card. All international documents are evaluated by the Center for Educational Documentation in Boston, Mass. prior to making an admission decision. Students must submit all required documents and translations from institutions outside the United States in conjunction with a Credential Evaluation Request Form directly to: Center for Educational Documentation, P.O. Box 170116, Boston, MA, 02117, by the March 1 deadline. The fee for evaluation services is assessed directly to each applicant by the Center. The Credential Evaluation Request Form is available online at www.cedevaluations.com.
Freshman and transfer applicants must meet minimum academic standards established by the Massachusetts Department of Higher Education (DHE) in order to be considered for admission to a state university. The Admission Standards document is available on the DHE website at www.mass.edu. The DHE allows individual state universities to set a higher minimum admission standard for freshman and transfer applicants, and Westfield State University has chosen to do so.
Details of transfer admission policies and practices can be found on the Transfer Admissions link of the Undergraduate Admission website at westfield.ma.edu/admissions.
FALL ADMISSION*FEBRUARY 1
Nursing Application deadline Learning Disabilities priority deadline Urban Education priority deadline MARCH 1 Deadline for filing application Financial Aid Priority Deadline (FAFSA must be filed by this date.) DECEMBER – APRIL
Applications are evaluated and decisions are mailed
BY APRIL 15
Applicant notification date MAY 1
Accepted applicants must submit a non-refundable, non-transferable deposit (U.S. dollars only) indicating their intention to enroll
* Freshman and transfer applicants for January admission should submit their applications by November 15.
Westfield State University maintains and promotes a policy of non-discrim-ination on the basis of race, color, creed, religion, national origin, gender, age, disability, sexual orientation, gender identity, marital status, genetic information or veteran status.
LAST/FAMILY FIRST/GIVEN MIDDLE
GENDER (optional) MALE FEMALE SOCIAL SECURITY NO. (not applicable for international students) OTHER LAST NAME (if applicable)
PERMANENT ADDRESS CITY STATE ZIP CODE COUNTRY
How long have you lived at this permanent address? ___________YEARS _____________MONTHS
MAILING ADDRESS (IF DIFFERENT) CITY STATE ZIP CODE COUNTRY
E-MAIL ADDRESS TELEPHONE CELL PHONE
DATE OF BIRTH (OPTIONAL) COUNTRY OF BIRTH
APPLICATION FOR ADMISSION - FULL-TIME UNDERGRADUATE DAY ATTENDANCE
O PERMANENT RESIDENT ALIEN REGISTRATION # Enclose copies of Alien Registration Card (both sides) and/or Visa Documentation
O INTERNATIONAL (Non-Resident Alien) VISA TYPE Specify country and Visa type; Enclose copies of VISA documentation. Transfer applicants also enclose copy of current I-20. Country and Visa type
Westfield State University is committed to diversity and connecting underrepresented students with valuable resources on campus. The following questions are optional.
(choose one) (choose all that apply)
O HISPANIC OR LATINO O AMERICAN INDIAN OR ALASKAN NATIVE O CAPE VERDEAN
O NON-HISPANIC OR NON-LATINO O NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER O ASIAN
O BLACK OR AFRICAN-AMERICAN O WHITE
Do you identify with the LGBT community? O YES O NO
Are you a foster youth or ward of the court, or were you prior to the age of 18? O YES O NO Are you or have you ever been a member of the U.S. Armed Forces? O YES O NO If you are active duty military or a veteran, your application fee is waived.
PLANNED ENROLLMENT DATE OJANUARY 2016 OSEPTEMBER 2016
Have you previously attended Westfield State University? OYES,YEAR(S) ATTENDED: __________O NO
Have you previously applied to Westfield State University? OYES, YEAR APPLIED: ______________ONO
APPLICANT TYPE: (see instructions on previous pages)
OFRESHMAN OTRANSFER – BETWEEN 12 AND 23 CREDIT HOURS COMPLETED BY ENROLLMENT DATE
OFRESHMAN– INTERNATIONAL OTRANSFER – 24 CREDIT HOURS OR MORE COMPLETED BY ENROLLMENT DATE
O FRESHMAN– PARTICIPATING IN A OTRANSFER – INTERNATIONAL DUAL ENROLLMENT PROGRAM
PREFERRED FINANCIAL AID FILING OPTION
Please select the financial aid filing option below that best describes your plans to complete the FAF-SA. Choosing not to complete the FAFSA will have no effect on whether or not you will be admitted to the University. The Westfield State Federal School code is 002189. Please submit your completed FAFSA form to the federal processor before March 1 at www.fafsa.ed.gov.
O I PLAN TO APPLY FOR FEDERAL, STATE AND INSTITUTIONAL FINANCIAL AID AND AM PREPARED TO COMPLETE THE FAFSA ONLINE AT WWW.FAFSA.ED.GOV
O I PLAN TO APPLY FOR FEDERAL, STATE AND INSTITUTIONAL FINANCIAL AID, BUT NEED HELP FROM THE FINANCIAL AID OFFICE TO COMPLETE THE FAFSA
O I DO NOT PLAN TO APPLY FOR FEDERAL, STATE OR INSTITUTIONAL FINANCIAL AID AT THIS TIME.
ACADEMIC BACKGROUND ALL APPLICANTS
HIGH SCHOOL(S) AND/OR PREPARATORY SCHOOL(S) ATTENDED/ATTENDING: NAME OF SCHOOL LOCATION (CITY, STATE & COUNTRY)
DATES ATTENDED (YR. TO YR.) GRADUATION DATE CEEB CODE
NAME OF SCHOOL
LOCATION (CITY, STATE & COUNTRY)
DATES ATTENDED (YR. TO YR.) GRADUATION DATE CEEB CODE
Do you have a GED instead of a U.S. high school diploma? OYES,YEAR RECEIVED: ___________ ONO
Please indicate the SAT/ACT test dates for which you will be submitting test scores: SAT/ACT test dates: MONTH______ YEAR______ MONTH______YEAR______ MONTH______YEAR______
HOUSING TYPE ALL APPLICANTS
O UNIVERSITY-SPONSORED HOUSING O COMMUTER
/ / TO / /
Do you wish to be considered for one or more of the following admission opportunities? (see Program information below) February 1st is the application priority deadline for each of these programs. O LEARNING DISABILITIES PROGRAM (Full program benefits)
O URBAN EDUCATION PROGRAM
O CONSIDERATION VIA THE REGULAR ADMISSION PROCESS WITH THE SAT AND FOREIGN LANGUAGE WAIVER (Diagnostic testing review required)
Westfield State University makes every effort to provide an enriching educational experience for qualified students with learning disabilities in the Banacos Academic Center. Massachusetts law allows SAT scores to be waived for all students with documented learning disabilities. The Massachusetts Department of Higher Education also allows these students to substitute two college preparatory units in humanities or social sciences for the foreign language requirements.
Westfield’s Learning Disabilities Program is open to freshman students with documented learning disabilities or ADHD disclosed via the admission application process. Although students are not required to disclose a learning disability, freshman applicants who wish to receive special consideration in the admission process, as well as specialized learning assistance and other program benefits after enrollment, must submit a copy of complete diagnostic testing along with official high school transcripts to the Admission Office. Applicants who submit a reflective personal statement and two academic recommendations will receive preferential review. Applicants are also strongly encouraged to submit the most recent IEP or 504 plan.
Diagnostic testing, which includes both a cognitive and an achievement test, should have been administered within the last three years. Preferred tests are the W.A.I.S. (cognitive tests) together with any achievement test used by the applicant’s school system, OR the complete Woodcock Johnson Psycho-Educational Battery (comprised of both cognitive and achievement tests). All diagnostic testing materials received will be kept confidential and will be used only within guidelines of the Americans with Disabilities Act of 1990 as amended (2008) and Section 504 of the Rehabilitation Act of 1973.
First-year applicants with documented learning disabilities may be required to interview with the staff of the Learning Disabilities Program. Applicants admitted to the program should note that all support services are elective.
The Urban Education Program provides first generation students from diverse educational, economic, cultural, and ethnic backgrounds a unique admission opportunity based on their potential to succeed at the university level. The program requires successful completion of the summer Bridge Program prior to matriculation.
The program provides intensive support, advising and encouragement for students who have the inner motivation and desire to achieve personal, academic and professional success. Opportunities for leadership development and civic engagement are abundant. Career development and graduate school advising is also available. The application process includes letters of recommendation, an interview with the Urban Education staff and final approval of the Program Director. If this program meets your needs as a college applicant, contact the Urban Education Program, Westfield State University, P.O. Box 1630, Westfield, MA 01086, or call (413) 572-5391.
FRESHMAN APPLICANTS PARTICIPATING IN DUAL ENROLLMENT PROGRAMS ONLY
All colleges or universities dual enrollment programs attended/attending while in high school, beginning with the most recent (continue on separate sheet, if needed)
COLLEGES OR UNIVERSITIES ATTENDED/ATTENDING DURING HIGH SCHOOL (Beginning with most recent) NAME OF SCHOOL LOCATION (CITY, STATE & COUNTRY)
DATES ATTENDED (YR. TO YR.) CEEB CODE
All colleges or universities attended/attending since high school graduation, beginning with the most recent (continue on separate sheet, if needed)
COLLEGE OR UNIVERSITY LOCATION CEEB CODE DATES ATTENDED GRADUATION DATE
(CITY & STATE) (4 DIGITS) (MO./YR. TO MO./YR.) (MO./YR.)
1. 2. 3. 4.
Total Number of Colleges Attended:______________ Failure to submit complete, official copies of ALL previous academic credentials constitutes academic dishonesty and will cause an offer of admission to be rescinded. Highest college degree held at planned enrollment date:
/ / TO / /
Please attach a copy of your course registration schedule at _________________________ college/university for the term that immediately precedes your planned enrollment date at Westfield State University. Please be sure your full name is on the registration form and that each course listed includes an academic department prefix and course number, title and credit designation. Example: ENGL 101, English Composition, 3 credits.
Note: All other college courses attempted, grades received and credits earned must be listed on official transcript(s) from each college attended.
O NONE O ASSOCIATE DEGREE FROM A MASSACHUSETTS COMMUNITY COLLEGE
TITLE OF ASSOCIATE DEGREE MAJOR
O THIS MAJOR IS APPROVED FOR MASSTRANSFER
O BACHELOR’S DEGREE
(Applicants with a bachelor’s degree must apply directly to the Division of Graduate and Continuing Education.)
2ND CHOICE 1ST CHOICE
Please indicate your first and second choice of major programs by entering the appropriate code in the space provided. Special admission conditions may apply to your choice of major.
Please enter the three- or four-letter code identified in bold print that corresponds to your intended major program of study.
Education (Pre-K–8 and 5–12) Fine Arts
ATTP ATHLETIC TRAINING
BIOL BIOLOGY Ecology and
Environmental Biology Education (8–12)
BUSM BUSINESS MANAGEMENT Accounting
Aviation Management (non-flight) Business Education (5–12) Commercial Recreation and Tourism Finance Management Marketing CHEM CHEMISTRY Chemistry Education (8–12) COMM COMMUNICATION Communication and Culture Journalism
Media Arts and Analysis Public and Corporate Communication
CIS COMPUTER INFORMATION SYSTEMS End-User Computing
COMS COMPUTER SCIENCE
CRJU CRIMINAL JUSTICE
ECED EDUCATION LICENSURE Early Childhood (with/without Disabilities Pre-K–2)
ELED ELEMENTARY (1–6) Middle School (5–8) Moderate Disabilities (Pre-K–8 and 5–12)
SCED SECONDARY MIDDLE SCHOOL EDUCATION (5–8) O BIOL O GNSC O BUSM O HIST O CHEM O MATH O ENGL
SPED SPECIAL EDUCATION
Education (5–8 and 8–12) Literature
ENVS ENVIRONMENTAL SCIENCE
EGST ETHNIC & GENDER STUDIES
GNSC GENERAL SCIENCE General Science Education (5–8)
HIST HISTORY Education (5–8 and 8–12)
LIBA LIBERAL STUDIES (Transfer applicants only)
MATH MATHEMATICS Actuarial Preparatory Program/Statistics Education (5–8 and 8–12)
MOVS MOVEMENT SCIENCE Exercise Science
Physical Education (Pre-K–8 and 5–12) Sports Medicine Wilderness Leadership
1 Visual interview required by invitation only and upon acceptance to the University. 2 Audition required for admission to the major or minor program.
Vocal Music Education (K–12) Instrumental Music Education (K–12) Instrumental Music Performance Jazz Studies
Vocal Music Performance Music History
NURS NURSING (First-time Freshman applicants only)
POLS POLITICAL SCIENCE American Politics International Studies Law Political Studies Public Administration PSYC PSYCHOLOGY
REPL REGIONAL PLANNING Applied Geography
Cultural and Regional Geography Geographical Information Systems (GIS)
SOCP SOCIAL WORK
THEA THEATRE ARTS
If additional space is needed, please attach a separate sheet of paper including your name and address. 1. Please list all academic awards, co-curricular activities, varsity athletics, work or volunteer
experience, and personal hobbies and interests for consideration by the admission staff.
2. If you feel that additional personal information may be helpful to the admission staff when reviewing your application, please include a brief statement.
3. If you have not attended college continuously (or at all) since high school graduation, please tell us what you have been doing during those academic terms in which you were not in school. This information is required for all applicants, if applicable.
4. Please tell us about your career goals.
5. Please list any immediate family members who are currently enrolled at, or graduated from, Westfield State.
NAME RELATIONSHIP GRADUATION YEAR
NAME RELATIONSHIP GRADUATION YEAR
Applicants who fail to submit complete, official, original copies of all previous academic credentials are subject to University policies on academic honesty, which include rescinding an offer of admission.
Westfield State University also reserves the right to rescind an offer of admission or university-sponsored housing eligibility awarded as part of an offer of admission if, at any time after the submission of an application for admission and prior to the start of classes for the first term of enrollment, it acquires information on the basis of which an offer of admission or University-approved housing may have been denied, indicating to University officials that admission or enrollment of an individual may place the safety of the University community at risk.
REQUIRED DISCLOSURES (Required for all applicants, as noted) FRESHMAN APPLICANTS:
1. Have you ever been suspended from school for disciplinary reasons
for more than five consecutive days? O Yes O No
2. A. Have you ever been suspended from or refused admission to a
college or university for disciplinary reasons? O Yes O No B. Would you be allowed to return to your previous school(s)? O Yes O No If you answered “Yes” to question 1 or 2a or “No” to question 2b, attach an explanation on a separate sheet. The high school’s guidance counselor or college’s Dean of Students, as appropriate, also must submit a letter of explanation. This information will be considered as part of the Admissions review process and your application will be considered incomplete without this information.
3. Have you ever been convicted of a felony? O Yes O No 4. Have you ever been convicted of a misdemeanor that
resulted in imprisonment? O Yes O No
If you answered “Yes” to questions 3 or 4, enclose an explanation on a separate sheet. This information will be considered as part of the Admissions review process and your application will be considered incomplete without this information. I understand that information about applicants that is furnished to Westfield State University will be kept confidential and only will be released to public higher education system personnel authorized by the Massachusetts Department of Higher Education to receive this information, or to educational agencies and institutions for research study purposes. I hereby certify that the information furnished on the Application Form is complete and accurate.
I understand that applicants who meet minimum eligibility requirements are not guaranteed admission to the University.
APPLICANT’S SIGNATURE DATE
PARENT/GUARDIAN SIGNATURE (IF APPLICANT IS UNDER 18) DATE
SEND APPLICATION MATERIALS TO:
Admission Office Westfield State University P.O. Box 1630
Westfield, MA 01086-1630 (413) 572-5218
WESTFIELD STATE UNIVERSITY ANNUAL SECURITY REPORT The Westfield State University Annual Security Report can be found within the Campus Safety Chronicle, found on westfield.ma.edu/safety
Additional safety and fire information can be found on the Westfield State University Department of Public Safety website at westfield.ma.edu/safety. Hard copies of all reports are available upon request by calling the Department of Public Safety at (413) 572-5262.
/ / / /
FRESHMAN APPLICATION CHECKLIST REQUIRED ITEMS
A freshman applicant is someone who has not enrolled in college courses after completing high school.
(Keep this checklist for your records)
O Application Form: Answer all questions completely, print clearly and sign the form. O Application Fee of $50 for all applicants
(non-refundable, non-transferable U.S. dollars only): Make check or money order payable to: Westfield State University. Please print the applicant’s name and date of birth on the check. Do not send cash.
O Official High School Transcript including first-quarter senior grades. Transcripts are considered official only when sent to Westfield State University directly from the high school. Students who did not graduate high school must also submit an official ACE-sponsored GED Test Scores report.
O SAT and/or ACT: Please arrange, through the College Board or your guidance office, to forward SAT and/or ACT scores directly to the Admission Office. The Westfield State CEEB Code is 3523.
O International Applicants: Applicants who are not U.S. Citizens or Permanent Residents must submit additional materials as described in this application packet.
O Letters of Recommendation
O Application Essay or Personal Statement Note: Faxed copies of transcripts are not permitted.
TRANSFER APPLICATION CHECKLIST REQUIRED ITEMS
O Application Form: Answer all questions completely, print clearly and sign the form. O Application Fee of $50 for all applicants
(non-refundable, non-transferable U.S. dollars only): Make check or money order payable to: Westfield State University. Please print the applicant’s name and date of birth on the check. Do not send cash. Fee is waived for Mass. community college graduates.
O Official College Transcripts from each college attended. Transcripts are considered official only when sent to Westfield State directly from the college or university.
O Official High School Transcript: Transcripts are considered official only when sent to Westfield State directly from the high school. Applicants who have completed a GED should also submit official test results. Transfer applicants who have earned an associate degree from a Mass. community college are not required to submit high school or GED information.
O SAT and/or ACT are required only from applicants with fewer than 24 transferrable college credits or who have been out of high school less than three (3) years. The Westfield State CEEB code is 3523.
O Complete Listing of Courses in Progress: Please send a photocopy of your applicable college course schedule as described in the application.
O International Applicants: Applicants who are not U.S. Citizens or Permanent Residents must submit additional materials as described in the application.
ALL REQUIRED APPLICATION MATERIALS MUST BE SENT TO:
WESTFIELD STATE UNIVERSITY,
P.O. BOX 1630, WESTFIELD, MA 01086-1630 (413) 572-5218
Connecting all departments (413) 572-5300 Campus Switchboard T.D.D. (413) 572-5250 Email: firstname.lastname@example.org University website: westfield.ma.edu
For additional or more detailed information, visit us on the web at westfield.ma.edu/admissions The rules, regulations, policies, fees, and other charges, courses of study, and admission and academic requirements that appear in Westfield State University’s recruitment brochures were in effect at the time of publication. They are published for informational purposes only, and do not constitute a contract between the University and any student, applicant for admission, or other person. Whether noted elsewhere in these brochures or not, the University reserves the right to change, eliminate, and add to any existing (and to introduce additional) rules, regulations, policies, fees and other charges, courses of study, and academic and admission requirements. Whenever it does so, the University will give as much advance notice as it considers feasible or appropriate, but it reserves the right in all cases to do so without notice.
VISIT WESTFIELD.MA.EDU AND CLICK APPLY
AFTER YOU APPLY
If you are accepted as either a freshman or transfer student, you must inform the University that you accept the offer of admission and pay all necessary non-refundable, non-transferable deposits (U.S. dollars) on or before the May 1 Candidate’s Reply Date. If you fail to notify us of your intention to enroll by May 1, the offer of admission will be withdrawn.
Students with documented financial difficulty may contact the Director of Admission regarding fee and deposit waivers.