Student Name (Please Print)
Last
First
Middle
Maiden
Student ID # (if known) Address City State Zip Code Home Phone Work Phone Cell Phone
Social Security Number XXX-XX-
(Last 4 #’s)
• Southern Wesleyan University will award a 10% scholarship to employees of Scholarship America Affiliate Organizations who enroll in a SWU online degree program. • The 10% scholarship will be applied proportionately to each course of the entire program. The scholarship will be applied only toward tuition. • Students receiving tuition benefits from outside sources, including VA benefits, military benefits, state and federal scholarships & grants, and tuition assistance programs, may still qualify for scholarship assistance up to, but not to exceed, 100% of tuition expenses. • Student is required to meet all admission standards for the desired degree program. • Student must adhere to policies listed in the Undergraduate or Graduate Bulletin that include policies related to class attendance, academic standing, and other requirements.
Contact for Authorization: Student Signature
Affiliated Company Authorization
Phone Email
PLEASE RETURN BY MAIL, FAX, OR EMAIL: Southern Wesleyan University Office of Student Accounts 907 Wesleyan Drive Central, SC 29630
[email protected] Fax : 864.644.5970
