WESTERN NEW MEXICO UNIVERSITY
Virtual Campus
PO BOX 680
Silver City, New Mexico 88062
UNDERGRADUATE NON-DEGREE or SPECIAL STUDENT - NINE CREDITS OR LESS
GRADUATE NON-DEGREE or SPECIAL STUDENT - SIX CREDITS OR LESS
A Non-Degree or Special student is one who wishes to enroll at WNMU without having to meet regular admissions requirements.
The student will remain on non-degree status until all university admissions requirements are met.
First Name    
Middle Name    
Last Name    
Former name(s)    
Email address    
Social Security Number    
Date of Birth    
Phone Number    
Permanent Address City  
State Zip 
Term of Admission:      
Have you previously attended WNMU? Yes No    
If yes, when?    
State of legal residence    
County of legal residence    
Have you lived in New Mexico for the past 12 months consecutively? Yes No  
Name of High School last attended    
City State    
High School Graduation
(or GED) Date		    
GED Test Location    
Last College Attended Year     
City State    
Degree Obtained    
Date Degree Conferred    
Classification:  16 Undergraduate or 26 Graduate    
Student type:     9    
IMPORTANT: Enrollment in this class(es) does not constitute regular admission to WNMU. Use of these courses in degree programs is the prerogative of the program in which a degree is sought. A $25.00 registration fee will be added to your tuition.
 Dept   No  CRN   Title of Course  Instructor Credit Hours
       
Graduate:   By submitting this application I certify I have an undergraduate degree and understand that I can only take 6 credits prior to receiving regular graduate admission.
Undergraduate:  The credit hours may apply towards a degree. If attending another institution, I certify that I am in good standing at that institution.
       
Date:      
Your responses to the following two items are voluntary and will be kept confidential. Failure to respond to the inquiry will not subject you to an adverse action.

Ethnic Information

      
Check One:
1. White/Non Hispanic 2. Black/Non Hispanic 3. Hispanic 4. American Indian or Alaskan Native
 
  5. Asian 6. Non-Resident Alien 9. No Response    
Gender Information              
Check One: Male Female No Response    
 
It is the policy of WNMU not to discriminate on the basis of race, creed, sex, color, age, handicap or national origin in its educational programs, activities, or employment policies.