Application for Non-Degree/Visiting Student Study
Graduate & Undergraduate
Semester: _____ Fall _____ Winter _____ Spring _____ Summer
Year: ______________
Applying As: _______ Undergraduate ________ Graduate
Last Name: ______________________ First Name: __________________________Middle Name:__________
Street Address: ______________________________________________________________________________
City: ________________________
State: _________
Phone Number: (_____)_______________
E-mail Address: ______________________________________
Date of Birth (MM-DD-YYY): ___________________
Citizenship: _______ US Citizen
ZIP Code: _________ County: ____________
Gender: _____ Male
______ Permanent Resident
______ Female
________ Non-US Citizen
If you are a ‘Non-US Citizen’, please indicate the following:
______________ Country of Citizenship
__________ Visa/Immigration Status
Please submit evidence of your visa/immigration status. Photocopies of a Permanent Resident Card, Visa, or Passport
are acceptable forms of visa/immigration status verification.
Course Requests: Please refer to the official semester schedule of courses at www.njit.edu/Registrar.
Subject
Course Number
Admissions Approval
Department Approval
Terms and Conditions:
All students must submit either a copy of college transcripts or permission from current college. Graduate students are
required to obtain signature approval from the NJIT academic department. Final approval rests with the Office of
University Admission.
Visiting students who wish to register for courses that require prerequisite(s) must provide a letter of permission from
their home institution.
By taking course work as a non-degree student, there is no assurance that these credits will satisfy degree requirements at
my current college/university and/or at NJIT.
Permission to register as a non-degree student in no way suggests or implies eventual admission as a matriculated student
to NJIT either now or in the future.
Credit Limit: 15 credits undergraduate and 9 credits graduate
I acknowledge, understand and agree with the terms and conditions stated above.
Applicants Signature:___________________________________________Date:________________