Non-Degree Application

Personal Information

Name

First Name

Preferred Name

Last Name

Birthdate

Email Address

Cell Phone

Address

Mailing Address

Country

Street

City

Region

Postal Code

Biographic

Permanent Address

Same as Mailing Address

Country

Street

City

Region

Postal Code

Sex at birth

Pronouns

Gender Identity

Citizenship

Primary Citizenship

US Permanent Resident

Colleges and universities are asked by many groups, including the federal government, accrediting associations, college guides, and newspapers, to describe the ethnic/racial backgrounds of their students and employees. In order to respond to these requests, we ask you to answer the following two questions.

Hispanic

Yes

Degree Objective

Major

Entry Term

Are you participating in ROTC?

Yes

Disciplinary History

Please explain:

Have you ever been found responsible for a disciplinary violation at any educational institution you have attended from the 9th grade (or the international equivalent) forward, whether related to academic misconduct or behavioral misconduct, that resulted in a disciplinary action?

Yes

Have you ever been found guilty or convicted of a felony?

Yes

Please explain:

Academic History

Name

CEEB

Start Date

End Date

Level of Study

Degree

Add Another School

Yes

Name

CEEB

Start Date

End Date

Level of Study

Degree

The information supplied on this application is complete and true to the best of my knowledge. All materials and supporting records submitted by me or on my behalf in connection with this application or my attendance will not be released to anyone other than authorized university personnel without my consent. It is understood that incorrect or falsified information will be grounds for withdrawal of this application or dismissal from the university.
The undersigned agrees to pay all financial obligations if admitted to and attending the university, including assessed collection costs and any obligations incurred if financial aid is terminated, reduced, or postponed for any reason.
I agree to be governed by the academic standards, policies, rules and regulations of the University of New Haven.
The undersigned applicant authorize(s) the University to publish or have published on its behalf for public relations purposes: photos, videos, and other likenesses of the applicant, the applicant’s voice, and/or the applicant’s name, hometown, major, honors, and other activities (whether in print or electronically, including but not limited to use in social media, on websites, and by any other means now known or hereafter developed), at any time after the University issues an offer of admission to the applicant.
The applicant may rescind this publicity authorization (or any part of it) by notifying the Office of Marketing & Communications in writing at any time. Upon receipt of such notice, the University will promptly cease all future publicity uses of the rescinded subject matter, but shall not be required to remove any such subject matter from any previously published materials.

I agree

Signature

Undergraduate Admissions

Non-Degree Application