Create New Application

First Name:
Last Name:
Street Address:
City:
State/Province:
Zip Code:
Country:
Telephone Number:
Alternate Phone:
Email Address Required for admission
Birth Date: mm/dd/yyyy
Birth Place:
Select your requested degree:	Associate of Science in MidwiferyBachelor of Science in MidwiferyContinuing EducationAssociate of Science in Midwifery Pre Graduate TrackCurrent CPM Pursuing Bachelor of Science in MidwiferyMaster of Science in Midwifery
Username:
Password:
Confirm Password:

At the completion of this form, you will receive an email confirming your username and password.
You will need to log into www.midwifery.edu to complete the application process.






Midwives College of Utah
1174 East Graystone Way STE 2
Salt Lake City, Utah 84106
1-866-680-2756
1-801-649-5230
Fax: 1-866-207-2024
office@midwifery.edu