EmailMe Form - Confirmation Form

Term Admitted: *

(Fall Semester, Spring Semester, etc.)

School Year Admitted: *

Admissions Intent: *

I WILL attend Shaw University

I will NOT attend Shaw University

Student Information

Social Security Number *

(Do not include dashes)

Name *

First Middle Last

(If no middle name enter NA)

Address *

Street Address City State / Province / Region Postal / Zip Code

Phone *

### - ### - ####

Email *

Admissions Type/Term

Admissions Type *

Undergraduate

Undergraduate/Adult Degree Program

Graduate

Term *

Fall

Spring

Electronic Signature

Electronic Signature *

First Middle Last

(If no middle name enter NA)

Signature Confirmation *

By checking this box, you are signing this Confirmation Form electronically. You agree your electronic signature is the legal equivalent of your manual signature on this form.