This application must be completed, signed, and returned to the University of West Los Angeles accompanied by the $50.00 non-refundable application fee. Please answer all questions clearly and fully.

SalutationRequired -- choose one -- Miss Mr. Mrs. Ms.

First NameRequired

Middle NameRequired

Last NameRequired

Email AddressRequired

Social Security Number

Confirm Social Security Number

BirthdayRequired

GenderRequired -- choose one -- Decline to State Female Male

HispanicRequired -- choose one -- NO YES

Citizenship StatusRequired -- choose one -- Non-Resident Alien Resident Alien US Citizen

Visa StatusRequired -- choose one -- B-1/B2 Visa F-1 Visa H1 Visa I don’t know J-2 Spouse or qualifying child

CountryRequired -- choose one -- UNITED STATES CANADA AFGHANISTAN ALBANIA ALGERIA ANDORRA ANGOLA ANTIGUA ARGENTINA ARMENIA ARUBA AUSTRALIA AUSTRIA AZERBAIJAN BAHAMAS BAHRAIN BANGLADESH BARBADOS BELARUS BELGIUM BELIZE BENIN BERMUDA BHUTAN BOLIVIA BOSNIA BOTSWANA BRAZIL BRUNEI BULGARIA BURKINA FASO BURMA BURUNDI CAMBODIA CAMEROON CAPE VERDE CENTRAL AFRICAN REPUBLIC CEYLON CHAD CHILE CHINA COLOMBIA COMOROS CONGO COSTA RICA COTE D"LVOIRE CROATIA CUBA CYPRUS CZECH REPUBLIC DENMARK DJIOUTI DOMINICA DOMINICAN REPUBLIC ECUADOR EGYPT EL SALVADOR ENGLAND EQUATORIAL GUINEA ERITREA ESTONIA ETHIOPIA FIJI FINLAND FRANCE FRENCH ANTILLES FRENCH GUIANA GABON GAMBIA GEORGIA GERMANY GHANA GREECE GRENADA GUADELOUPE GUATEMALA GUINEA GUINEA-BISSAU GUYANA HAITI HOLY SEE HONDURAS HONG KONG HONG KONG HUNGARY ICELAND INDIA INDONESIA IRAN IRAQ IRELAND ISRAEL ITALY IVORY COAST JAMAICA JAPAN JORDAN KAZAKHSTAN KENYA KIRIBATI KOREA KUWAIT KYRGSTAN LAOS LATVIA LEBANON LESOTHO LIBERIA LIBYA LIECHTENSTEIN LITHUANIA LUXEMBOURG MACAU MACEDONIA MADAGASCAR MALAWI MALAYSIA MALDIVES MALI MALTA MARSHALL ISLANDS MARTINIQUE MAURITANIA MAURITIUS MEXICO MICRONESIA MOLDOVA MONACO MONGOLIA MOROCCO MOZAMBIQUE MYANMAR NAMIBIA NAURU NEPAL NETHERLANDS NETHERLANDS ANTILLES NEW ZEALAND NICARAGUA NIGER NIGERIA NORTH KOREA NORTHERN IRELAND NORWAY OMAN PAKISTAN PALAU PANAMA PAPUA NEW GUINEA PARAGUAY PERU PHILIPPINES POLAND PORTUGAL PRINCIPE QATAR REPUBLIC OF CHINA ROMANIA RUSSIA RWANDA SAN MARINO SAO TOME SAUDI ARABIA SCOTLAND SENEGAL SERBIA SEYCHELLES SIERRA LEON SINGAPORE SLOVAKIA SLOVENIA SOLOMON ISLANDS SOMALIA SOUTH AFRICA SOUTH KOREA SOUTH-WEST AFRICA SPAIN SRI LANKA ST. KITTS ST. LUCIA ST. NEVIS ST. VINCENT SUDAN SURINAME SWAZILAND SWEDEN SWITZERLAND SYRIA TAIWAN TAJIKSTAN TANZANIA THAILAND THE GRENADINES TOBAGO TOGO TONGA TRINIDAD TUNISIA TURKEY TURKMENISTAN TUVALU UAE UGANDA UKRAINE UNITED KINGDOM UPPER VOLTA URUGUAY UZBEKISTAN VANUATU VATICAN CITY VENEZUELA VIETNAM WALES WEST AFRICA West Indies WESTERN SAMOA YEMEN ZAIRE ZAMBIA ZIMBABWE

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StateRequired -- choose one -- ALABAMA ALASKA AMERICAN EMBASSY AMERICAN SAMOA ARIZONA ARKANSAS ARMED FORCES THE PACIFIC CALIFORNIA COLORADO CONNECTICUT DELAWARE DISTRICT OF COLUMBIA FLORIDA GEORGIA GUAM HAWAII IDAHO ILLINOIS INDIANA IOWA KANSAS KENTUCKY LOUISIANA MAINE MARYLAND MASSACHUSETTS MICHIGAN MINNESOTA MISSISSIPPI MISSOURI MONTANA NEBRASKA NEVADA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NORTH CAROLINA NORTH DAKOTA OHIO OKLAHOMA OREGON PENNSYLVANIA PUERTO RICO RHODE ISLAND SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VERMONT VIRGIN ISLANDS VIRGINIA WASHINGTON WEST VIRGINIA WISCONSIN WYOMING

Zip CodeRequired Zip Code Extension

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US Cell PhoneRequired US Cell Phone Area Code US Cell Phone Exchange US Cell Phone Number US Cell Phone Extension  Ext: 

Position TitleRequired

RelationshipRequired -- choose one -- Aunt Business Child City of Inglewood Educational Partner Emergency Contact Employee Employer Ex-Spouse Externship site Guardian Host Family Husband Internship Internship Supervisor Parent/Guardian PLACEMENT Shadow Student Third Party Trustee Uncle Widow Wife

First NameRequired

Last NameRequired

EmailRequired

PhoneRequired Phone Area Code Phone Exchange Phone Number Phone Extension  Ext: 

What is your highest level of education?Required -- choose one -- GED High School Prior College

College GPA (From college in which you earned your most recent and highest degree)Required

College NameRequired

College NameRequired

College NameRequired

College NameRequired

College NameRequired

College NameRequired

Program of InterestRequired -- choose one -- Master of Science in Organizational Leadership Master of Science in Organizational Leadership - Online

Anticipated Starting SemesterRequired -- choose one -- Summer MS 25 5/27/25-7/26/25 Fall 1 MS 25 8/4/25-10/4/25 Fall 2 MS 23 10/16/23-12/16/23 Spring 1 MS 26

Military StatusRequired -- choose one -- Decline to State Not a Veteran Veteran

Place Of EmploymentRequired

Years EmployedRequired

College Major (From College in which you earned your most recent and highest degree).Required

If you have ever attended college under any other name, please indicate that name here.Required

If you have taken an CLEP examination(s), please list each subject passed below.Required

If you have ever been subject to disciplinary action for scholastic or other reasons in any of the above colleges, universities, graduate or professional schools, please explain. If not, write NA.Required

Signature (Full Name) and DateRequired

Please check below if you have ever applied to or attended UWLA.Required -- select one --No, I have never applied to nor attended UWLA. Yes, I have previously applied to or attended UWLA.

List any friends or relatives who attended or currently attend UWLA.Required

How did you hear about UWLA?Required -- select one --Advertisement Sirian Agency Email StudyWorkUS Agency Friend/Colleague Get2Uni Agency Google Social Media Other

Please list the City, State, and Country of your Birthplace.Required

Weekend Intensive or Hybrid Model?Required -- select one --Hybrid Model Online Weekend Intensive

If you are currently under indictment or have been convicted of any violation of the law other than minor traffic violations, please explain below. If not, write "Not Applicable."Required -- select one --No Yes

From which of the above schools did you obtain a degree?Required

If you answered "yes" to the above question, please explain further.Required