Graduate Statement of Intent to Enroll

Graduate Nursing Statement of Intent to Enroll

To complete the process of becoming a member of Wesleyan's Graduate Nursing Program, please complete this form and submit your enrollment deposit. Please email any questions or concerns to our Director of Graduate Enrollment & Operations at gradadmission@wvwc.edu.
Name

First NameLast Name
Preferred Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone numberFormat: (000) 000-0000.
Email
example@example.com
WVWC Email
Do not delete, for response purposes
Select Program
Intended Study
Intended Start Term
Will you require on-campus housing?
Are you applying to be a Graduate Assistant?
What department do you plan on being a Graduate Assistant for?
Do you plan to utilize employer payment or reimbursement for this program?
Enrollment Deposit

Upon submission of this page, you'll be redirected to the payment page to submit your enrollment deposit. Deposit must be received in order for your enrollment to be completed. US students should pay a $200 enrollment deposit and International students should pay a $500 enrollment deposit.
Note: Graduate assistants do not need to pay a deposit and can just close out of the payment page after pressing submit below.
Should be Empty:

Graduate Nursing Statement of Intent to Enroll