Northwood

If you are a returning student, please complete the following information. Upon receipt of this form a registrar or academic advisor will review your academic record and contact you regarding degree completion and registration plans.

Student Information

Northwood Student 7-Digit ID Number (Optional)

First Name

Middle Name

Last Name

Birthdate

Mailing Address

Country

Street

City

Region

Postal Code

Email Address

Primary Phone

Mobile Phone

Would you like to receive text messages from Northwood University? Msg & data rates may apply

Yes

No

Primary Citizenship

Secondary Citizenship (Optional)

I am a permanent resident of the United States

Application Information

Returning Student Type

Undergraduate Main Campus: Midland, MI

Undergraduate Northwood Online/Satellite

Graduate

Semester you plan to return

Campus Location

Program Location

Program

Student Type

Program

Have you attended any other schools since leaving Northwood University?

Yes

No

How many other schools?

School Information

School #1

School Name

Type of Classes Taken

School Country

School City

School State/Region

Start Date

End Date

School #2

School Name

Type of Classes Taken

School Country

School City

School State/Region

Start Date

End Date

School #3

School Name

Type of Classes Taken

School Country

School City

School State/Region

Start Date

End Date

School #4

School Name

Type of Classes Taken

School Country

School City

School State/Region

Start Date

End Date

School #5

School Name

Type of Classes Taken

School Country

School City

School State/Region

Start Date

End Date

Additional Information

Are you military connected?

Select military branch

Are you active military or veteran? (Deprecated)

Yes

No

Military dependent/spouse? (Deprecated)

Yes

No

Have you ever been convicted of a criminal offense (including in juvenile court) other than a minor traffic violation, or are there criminal charges pending against you at this time?

Yes

No

You selected "Yes" for the question above, please provide us with additional information.

Certification

Affidavit of AccuracyPlease affirm the following before you submit the form.

Certification

Affidavit of AccuracyPlease affirm the following before you submit the form.

By submitting this form, I certify that all information provided is complete, factually accurate and honestly presented. I understand that falsification or omission of information is sufficient cause for denial of my form or dismissal from the university.

Returning Student Application

Student Information

Application Information

School Information

Additional Information

Certification

Certification