Application for Admission

Welcome to USV's application portal. Our online application is secure and easy to submit.

Admission decisions are based on a careful evaluation of the applicant's academic record, completed application, sample of work (if applicable), and essay. Admitted students may begin either full-time or part-time study during the Fall Trimester, Fall Mid-Session, Spring Trimester, Spring Mid-Session, Summer Trimester, or Summer Mid-Session.

Name*

First Middle Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Cell Phone*

Cell Phone Carrier*

Home Phone:

Email*

Enter Email Confirm Email

Birth Date*

Have you previously attended CUSV?*

If yes, dates (from - to):

Country of Citizenship:*

If not a US citizen, do you have Permanent Resident Status (Green card)?

Are you an international student requiring an F1 Visa to study in the U.S.?

Term Applying For*

Intended Program of Study:*

Course Location

If you are applying for DAA, DAT, or GDA Program, select a concentration:

Emergency Contact*

First Last

Emergency Contact Phone*

Educational Background:

High School Name:*

City and State:*

GED Attained (date):

H.S. Graduation Year*

College: (#1)

City and State:

Degree:

College: (#2)

City and State:

Degree:

Optional Information:

Have you been in touch with a USV Advisor?

If “Yes” please select from Advisor list:

Gender You Identify With:

Male
Female
Not Specified

Ethnicity:

How did you hear about us?

Policy Acknowledgements and Certification Statements

College Catalog*

I acknowledge receipt of the Institution’s current College Catalog that provides general information about the college, degree programs, courses, services and requirements of Cogswell Polytechnical College. As a prospective student, you are encouraged to review this catalog prior to signing an enrollment agreement.

I Acknowledge

School Performance Fact Sheet*

I acknowledge receipt of the School Performance Fact Sheet that includes completion/graduation rates, graduate employment rates, licensing information (if required), and salary information as required by the CA Bureau for Private Postsecondary Education. As a prospective student, you are also encouraged to review the School Performance Fact Sheet, which must be provided to you prior to signing an enrollment agreement.

I Acknowledge

Annual Campus Security and Fire Safety Report*

I have read and received the Annual Campus Security and Fire Safety Report. This report provides crime statistics for the last three years, as well as a description of our school’s policies concerning campus security, fire safety, timely warnings, emergency notification and evacuation procedures.

I Acknowledge

Drug and Alcohol Abuse Prevention Program*

I have read and received the Drug and Alcohol Abuse Prevention Program. I understand that any verifiable evidence of attempting to or engaging in the manufacture, sale, or distribution of any known controlled substance will be deemed grounds for immediate termination, and may also include the information being forwarded to the appropriate authorities.

I Acknowledge

Student Right-to-Know Disclosure*

I acknowledge receipt of the Student Right-to-Know Disclosure that includes completion/graduation rates, graduate employment rates, general school and financial aid information, as well as various consumer-related policies.

I Acknowledge

Please read and sign the following:

I agree, if accepted, to abide by the rules and regulations of Cogswell Polytechnical College.

To the best of my knowledge, the information I have submitted here is complete and correct.

Do you agree?*

Date*

Signature*

Comments

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