Please tell us about yourself!

Thank you for your interest in Baldwin Wallace University. Upon completion of this form, you will be added to our mailing and/or email lists to receive additional information about BW.

* denotes required field

Personal Information

First Name*

Last Name*

I am a prospective student interested in...*

Graduate/Professional Programs in Business

Graduate/Professional Programs in Education

Graduate/Professional Programs in Health Professions

Student Email Address*

Student Cell Phone*

Are you willing to receive text messages from Baldwin Wallace?*

Yes

Birthdate*

Educational Information

Are you a licensed teacher?*

Do you hold a principal's license?*

Are you interested in the full-time One Year MBA Cohort?*

What is your preferred major?*

Entry Term*

In order to better serve you (and to send you printed materials), are you willing to provide us with more information?

Yes

Additional Information

Mailing Address*

Country

Street

City

Region

Postal Code

Student Home Phone (if different than cell)

Please start typing out your current or most recent college/university and select it from the dropdown below once you see your school. If your school is not listed, just provide the name of your school and continue.

College/University (current/most recent)

College/University (current/most recent) CEEB

Are you a United States citizen?

Yes

Are you a permanent resident of the United States?

Yes

Primary Citizenship*

Are you Hispanic or Latino?

Race (select all that apply):

Your US military affiliation

Clicking the “Submit” button below constitutes your express written consent to be called, emailed and/or texted (if you indicated you were willing to receive text messages above) by Baldwin Wallace University and its affiliates at the number(s) you provided, regarding furthering your education. You understand that these calls may be generated using automated technology.