Request Information

Please complete the form and be sure to leave any comments in the space provided at the end. We respond to all requests for information as quickly as possible. For immediate access to admission and financial assistance publications, please visit the Print Admission Forms web page.

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

This request is for:

Myself Daughter/Son Relative Friend

Your contact information (if not student):

1. Your Name
2. Preferred Email*

Send the information to:

1. Student's Full Name*
2. Mailing Address*
3. Mailing Address
4. City*
5. State*
6. Zip Code*
7. Country (if outside US)
8. Telephone Number
9. Fax Number
10. Date of Birth - -
11. Gender

    Male Female
12. This student will enter as a

    First Year Transfer

Academic information:

1. Anticipated semester of entry Select 2009 Fall 2010 Spring 2010 Fall 2011 Spring 2011 Fall 2012 Spring 2012 Fall 2013 Spring 2013 Fall
2. Current High School or College
3. High School City/State
4. High School Graduation -
5. SAT Critical Reading
6. SAT Math
7. SAT Writing
8. SAT Combined
9. ACT Composite
10. Class Rank
11. 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: