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spacer spacer  CONTACT spacer spacer
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 Admission Office
 (800) 252-3166 or
 (512) 863-1200

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spacer spacer  REQUEST MATERIAL FROM THE ADMISSION OFFICE spacer
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Please fill in the information requested and leave us any comments you wish in the space provided at the end of this form. We will respond to all requests for information as quickly as possible. For immediate access to admission and financial aid material, please visit the Print Admission and Financial Aid Forms web page.

If you wish to send a message to the Southwestern Admission Office, click here.

THE REQUEST IS FOR:

    Myself Daughter/Son Relative Friend

THIS NAME IS BEING SUBMITTED AS PART OF SOUTHWESTERN'S:

    ALUMNI REFERRAL PROGRAM
    Name of Alumna/us:
    Class Year:
    LEGACY LINK PROGRAM
    Relationship to Student:

YOUR INFORMATION (IF NOT STUDENT):

    Your Name:
    Preferred E-mail:

SEND THE INFORMATION TO:

    Student's Full Name*:
    Mailing Address*:
    Mailing Address:
    City*:
    State*:
    Zip Code*:
    Country (if outside US):
    Telephone:
    FAX number:

Gender*:

Will enter as a:

Male
Female		First-year
Transfer
Date of Birth* -- [MM-DD-YYYY]

ACADEMIC INFORMATION:

    Anticipated semester/year of entry
    Current High School or College:
    High School City/State:
    High School Graduation (MM/YY): /
    SAT - I Scores: Critical Reading
    Math
    Writing
    Combined
    ACT Composite:
    Class Rank:
    Grade Average or GPA:

FOLLOW-UP:

I have previously received information from Southwestern.
I would like to be contacted by a current Southwestern student.

COMMENTS OR QUESTIONS:

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 Southwestern Admission Office  1001 E University  Georgetown, TX 78626  800-252-3166  Fax 512-863-9601
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