Online Program Information Request

For more and specific information about any of the Online Campus programs, please complete this request. You will receive an email from the Online Campus Coordinator with specific information about the program of interest.

Please ensure you complete the entire form before submitting.

Applicant Information
   
First Name :
Middle Name:
Last Name:
Date of Birth:
 (mm/dd/yy)
Email Address:
Daytime telephone:
(8501234567)
U.S. Mailing Address:
City/APO/FPO:
State:
Zip:
Military:


 

 

 

 

Note: Mobile Device Students should list the address where you can receive course materials and equipment!

For non-U.S. address, insert entire address in the comment box at end of this form.
Intended Program Enrollment
 

Undergraduate Programs
Engineering Technology, B.S. - Information Engineering Technology
Exceptional Student Education, B.A.
Health Sciences, B.S. - Allied Health
Health Sciences, B.S. - Health Care Administration
Health Sciences, B.S. - Health Care Professional
Health Sciences, B.S. - Medical Information Technology
Health Sciences, B.S. - Public Health
Information Technology, Interdisciplinary, B.S. - Networking and Telecommunications
Maritime Studies, B.A.
Nursing: RN-BSN
Workforce and Program Development, B.S.
   

Graduate Programs
Curriculum & Instruction, Ed.D. - Instructional Technology
Administration, M.S.A. - Acquisition & Contract Management
Administration, M.S.A. - Database Administration
Administration, M.S.A. - Health Care Administration
Administration, M.S.A. - Human Performance Technology
Administration, M.S.A. - Leadership
Administration, M.S.A. - Nursing Administration
Administration, M.S.A. - Public Administration
Administration, M.S.A. - Software Engineering Administration
Computer Science, M.S. - Database Systems
Computer Science, M.S. - Software Engineering
Curriculum & Instruction, M. Ed. - Career and Technical Studies Cognate
Curriculum & Instruction, M. Ed. - Elementary Education Comprehensive
Curriculum & Instruction, M. Ed. - Instructional Technology Cognate
Curriculum & Instruction, M. Ed. - Middle Level Comprehensive
Curriculum & Instruction, M. Ed. - Primary Education Comprehensive
Curriculum & Instruction, M. Ed. - Secondary Education Comprehensive
Educational Leadership, M.Ed. - Education and Training Management (ETMS)
Educational Leadership, M.Ed. - Education and Training Management (ETMS-HPT) - Human Performance Technology
Educational Leadership, M.Ed. - Education and Training Management (ETMS-IT) - Instructional Technology
Exceptional Student Education Comprehensive, M.A.
Instructional Technology, M.Ed.
Mathematics, M.S..
Public Health, M.P.H.
Reading, M.Ed.
 
Certificate Programs
Arabic Language and Culture Certificate
Database Systems Certificate
Geographic Information Systems (GIS) Certificate
Human Performance Technology Certificate
Medical Informatics Certificate
Not-For-Profit Administration
Professional Accountancy Certificate
Public Health Certificate - Emergency Management
Public Health Certificate - Environmental Health
Public Health Certificate - Infection Control
Public Health Certificate - Occupational Safety and Health
Public Health Certificate - Readiness and Response
Teacher Ready Certificate
Technology System Support Certificate
Workforce and Program Development Certificate
 

For which term & year do you seek admission?
Term:
Fall
Spring
Summer
 
Year:
 
       Will you be applying for the Out-of-State Fee Waiver?
 
 
Optional Information
   
How did you first hear about UWF's online programs? Control + Click will allow for multiple selections.
   
Comments or additional mailing instructions:

 

After verifying the accuracy of this information, please click the SUBMIT button.