Northwest College

New Student Registration

Reserve Your Spot

Please fill out this form to reserve your spot at New Student Registration. If you have any problems filling out the form, please do not hesitate to email or call us. We'll be glad to help you out.

* denotes required field

Your Information

First Name:

*

Last Name:

*

Email:

*

Phone:

() - *

Mailing Address:

*

 

City:

*

State:

*

Zip/Postal Code:

*

Country:

*

Gender:

Male
Female

Intended Major:

*

Educational Background

High School Graduate       High School Equivalency (G.E.D. or other)

Graduation Year:

*

School Attended:

*

Completion Year:

*

Arrival & Housing

I/We will arrive on*:

Sunday   Monday  

I/We will need housing for Select 0 1 2 3 4 5 6 7 8 family members (including myself)*

Meals

Breakfast and lunch will be served on Monday. Please indicate how many people you will be bringing to each (including yourself).

I'll be bringing Select 0 1 2 3 4 5 6 7 8 for breakfast (including myself)*

I'll be bringing Select 0 1 2 3 4 5 6 7 8 for lunch (including myself)*

Other

I have already applied for Admission to Northwest College: *

Yes
No

I'll take the ACCUPLACER tests at 5 PM on Sunday:

Yes
No

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