Declaration to Enroll at VWU

I hereby declare my intention to enroll at Virginia Wesleyan University upon the completion of my Virginia Community College System Associate of Arts or Associate of Science degree.

* required fields

Student Information

* Full Name

* Address

* City

* State

* Zip

* Preferred Phone Number

* Email Address

Community College Information

* I am currently enrolled at:

* Other Community College

* Student ID Number

* Current Academic Program:

VWU Information

* I intend to begin coursework at VWU:

* Intended VWU Academic Major

* I hereby authorize administrative personnel at my community college and Virginia Wesleyan University to exchange such personal and academic information about me as is necessary to facilitate my enrollment at VWU.

Date: