Please check below to confirm you are intending to apply for the Undergraduate Non-Degree program and NOT any Graduate course of study/SLP course:
Yes, I confirm
First Name
Middle Name
Last Name
Former Last Name
Gender
Female
Male
Date of Birth
MM/DD/YYYY format
Email
Confirm Email
Home Phone
Mobile Phone
Can we text?
Yes
No
Address
City
State
Zip Code
Country
Citizenship Status
Please select...
U.S. Citizen
U.S. Dual Citizen
U.S. Permanent Resident
Political Asylum/Refugee
DACA, undocumented, Deferred Enforced Departure, or Temporary Protected Status
Citizen of non-U.S. country
Birth Country
Birth Country Code
Country of Citizenship
Citizenship Country Code
Do you currently hold a valid U.S. Visa?
Yes
No
Currently held US Visa
Please select...
A-1 Foreign Diplomatic Personnel
A-2 Dependent Foreign Diplomatic Personnel
A-3 Employee of Foreign Gov Office
B-2 Tourist
E-2 Dependent of Treaty Investor
F-1 Student
F-2 Dependent of F-1 Student
G-1 Representative of Intl. Org.
G-2 Dependent of Representative of Intl. Org.
G-3 Dependent of Representative of Intl. Org.
G-4 Dependent of Representative of Intl. Org.
H-4 Dependent of H Visa Holder
J-1 Exchange Visitor
J-2 Dependent of J-1 Visa Holder
L-2 Dependent of L-1 Visa Holder
R-2 Dependent of R-1 Visa Holder
Other
Visa Number
Date Issued
Do you intend to apply for a new or different U.S. Visa?
Yes
No
Intended Visa Type
Please select...
A-1 Foreign Diplomatic Personnel
A-2 Dependent Foreign Diplomatic Personnel
A-3 Employee of Foreign Gov Office
B-2 Tourist
E-2 Dependent of Treaty Investor
F-1 Student
F-2 Dependent of F-1 Student
G-1 Representative of Intl. Org.
G-2 Dependent of Representative of Intl. Org.
G-3 Dependent of Representative of Intl. Org.
G-4 Dependent of Representative of Intl. Org.
H-4 Dependent of H Visa Holder
J-1 Exchange Visitor
J-2 Dependent of J-1 Visa Holder
L-2 Dependent of L-1 Visa Holder
R-2 Dependent of R-1 Visa Holder
Other
Are you Hispanic or Latino?
Please select...
Yes
No
Ethnic Heritage
Please select...
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian/Other Pacific Islander
White
Prefer to not respond
I would like to register for courses in:
Fall
Spring
Summer
I would like to start in:
2025
2026
2027
Do you have a high school diploma/GED?
Yes
No
High School
Please type slowly and select your school from the dropdown. If you can't find your school, choose Unknown School.
Unknown High School Name
School not available in the list above? Please enter it here.
High School Start Date
An approximate date is fine. Please use MM/DD/YYYY format.
High School End Date
An approximate date is fine. Please use MM/DD/YYYY format.
Graduation Year
Have you taken courses at a college or university?
Yes
No
What is your highest college degree earned?
Please select...
Associates
Bachelors
Masters
Doctorate
I have not earned a degree
College
Please type slowly and select your school from the dropdown. If you can't find your school, choose Unknown School.
Unknown College Name
School not available in the list above? Please enter it here.
College Account ID
Are you still enrolled?
Yes
No
College Start Date
MM/DD/YYYY format
College End Date
MM/DD/YYYY format
Did you earn a degree from this institution?
Yes
No
Please specify Degree Type
Please select...
Associate of Arts
Associate of Science
Associate in Arts and Science
Associate in Applied Science
Bachelor of Arts
Bachelor of Science
Masters
Doctorate
Date Degree Earned
MM/DD/YYYY format
Have you ever been convicted of a criminal charge other than a minor traffic violation?
Yes
No
Please provide a brief summary
Have you ever been subject to disciplinary action resulting in probation, suspension, or dismissal from school?
Yes
No
Please provide a brief summary:
Account ID
Contact Information