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Forms and Information

Here are some of the forms and information you need to complete and send to us before the fall semester begins.

Medical Forms

Prior to registration, new students must submit:

  • Confidential Medical History Report
  • Record of Immunizations
  • Emergency Instructions
  • Confidential Mental Health History Report
  • Notice of Privacy Practice Form

The above forms are available in a single PDF.

Download, print and complete the forms, then mail the completed forms to: 

Student Life
Nebraska Wesleyan University
5000 Saint Paul Avenue
Lincoln, NE 68504

Immunization records must be complete and returned prior to registration. This is a university requirement mandated by the State Department of Health and must by submitted to Student Health Services by all new, readmitted and transfer students. Proof of Immune titer or two properly administered immunizations for MMR (measles, mumps, rubella) must be indicated along with mandatory meningitis vaccination. Other immunizations are recommended.

Students who fail to provide the required immunization document during the first semester following admission to Nebraska Wesleyan University will be refused registration for the following semester unless a waiver form is signed.

Hepatitis A and B, Meningtitis and Measles Information
NWU’s Student Health Services has compiled useful information regarding Hepatitis A and B, Meningitis and Measles.

Student Health Insurance Information
Nebraska Wesleyan University requires that all full-time undergraduate students in the College of Liberal Arts and Sciences carry health insurance. You can read more about health insurance here.

Students insured through an existing policy may waive the Nebraska Wesleyan University plan by documenting existing coverage. 

To waive coverage, please visit the EIIA web site student waiver form.

Students with Disabilities

Students may request accommodations in accordance with the Americans with Disabilities Act by completing the ADA Request Form (pdf).  Return the form to:

Sandra J. McBride
126 Old Main
Nebraska Wesleyan University
5000 Saint Paul Avenue
Lincoln, NE 68504

Contact Sandra McBride, coordinator for services for students with disabilities, with questions regarding students with disabilities.

Renters’ Insurance

Students and parents can protect valuable electronics and other items from theft, fire and accidental damage with renters’ insurance.

National Student Services Inc. provides policies with worldwide coverage against:

  • Theft
  • Fire
  • Earthquakes, hurricanes and tornadoes
  • Vandalism
  • Flood
  • Lightning
  • Accidental damage including liquid spills and drops (optional)

Sign up for coverage at nsssi.com or call 800.256.6774.

National Student Services Inc.
P.O. Box 2137
Stillwater, OK 74076

Student Housing

New students receive a packet of housing information by mail in July. That packet includes your room assignment and roommate assignment (if applicable).

First year residence halls include:

  • Burt Hall North
  • Centennial Hall
  • Johnson Hall
  • Pioneer Hall
  • Plainsman Hall

As students progress toward graduation at Nebraska Wesleyan University, their housing options increase.

  • Heim and White halls
  • Townhouse Village
  • Student apartments
  • Theme houses

Lofts
Students often choose to increase their living space by lofting their beds. Students may bring or rent metal lofts. Wooden lofts are not allowed.

Metal lofts are available from College Products for $125 per year. Enter Nebraska Wesleyan’s school code: NBYN.

You may also reach them at 800.875.0457. Tell them you’re attending Nebraska Wesleyan University.

Microfridges
Students may bring their own minirefrigerators. Students may not bring their own microwaves.

The only microwave unit allowed in first year residence halls is the combination microwave/microchill from College Products. Rent a unit for $199 used.

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Nebraska Wesleyan University

5000 Saint Paul Avenue
Lincoln, NE 68504-2794
800.541.3818
info@nebrwesleyan.edu
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    Nebraska Wesleyan University provides equal educational opportunities to all qualified persons in all areas of university operation, including education and decisions regarding faculty appointment, promotion or tenure, without regard to race, religion, age, sex, creed, color, disability, marital status, national or ethnic origin or sexual orientation.