Student Information Form For Undergraduate Non-Degree Seeking Students
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1Student Information Form for Undergraduate Non-Degree Seeking Students
Please complete, sign and return this form along with the supporting documents to appropriate address/fax
APPLYING AS (PLEASE CHECK ONE):
Undergraduate Non-Degree Seeking Student
Rising High School Senior
Visiting Student
General Post-Baccalaureate
Post-Baccalaureate/Teacher Certification Student
Semester I wish to attend Ramapo College:
Fall
Winter
Spring
Summer
Year: 20______
Last Name ______________________________ First Name _______________Middle Name____________ Male Female
Street Address _____________________________________________ Apt/Box Number ________________________________
City ________________________State __________________ Zip Code _________ County______________________________
Phone Number (
)
-
E-mail Address _____________________________________________
Date of Birth__________________________(MM-DD-YY) Social Security Number_________-_________-_________________
Ethnic Origin (Optional: Please Check One):
American Indian/Alaskan Native
Black, Non-Hispanic
White, Non-Hispanic
Hispanic Asian or Pacific Islander
Are you a U.S. Citizen?
Yes No
If no, are you a permanent resident?
Yes If yes, what is your A #? ______________________________________
No
If no, what is your immigration status? ___________________________
Higher Education: Name of College/University _______________________________
Did you earn a degree?
Yes
No
If yes, date earned _________________ (MM-YY)
Have you attended Ramapo College before? Yes
No
If yes, when? _____________________ (MM-YY)
Have you ever been found responsible for a disciplinary violation at an educational institution you have attended from 9th grade
(or the international equivalent) forward, whether related to academic misconduct or behavioral misconduct that resulted in your
probation, suspension, removal, dismissal, or expulsion from the institution?
Yes*
No
Have you ever been convicted of a misdemeanor, felony, or other crime?
Yes*
No
*If yes, please attach a statement that provides the date and full explanation of the incident.
Terms and Conditions
•
I am in good academic and social standing at the college/university I am currently attending or have previously attended.
•
I posses a high school diploma/GED or I am a currently enrolled high school senior
•
As a non-degree student I may ONLY register for “seats available” in an OPEN course
•
I may enroll in a maximum of 8 credits per semester and earn a total of 24 credits before applying for matriculation
•
I must adhere to prerequisites or provide evidence of equivalency to the instructor and/or convening group and the college has the
right to restrict access to certain courses
•
By taking course work as a non-degree student, there in no assurance that these credits will satisfy degree requirements at my current
college/university and/or at Ramapo College AND
•
Permission to register as a non-degree student in no way suggests or implies that I will be admitted as a matriculated student to
Ramapo College either now or in the future
MY SIGNATURE ACKNOWLEDGES THAT I FULLY UNDERSTAND AND AGREE WITH THE TERMS
AND CONDITIONS STATED ABOVE
APPLICANT SIGNATURE: ___________________________________________DATE:_____________________________
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