Application for Graduate Admissions and Registration Special Status Student Year ___________☐Spring ☐Summer ☐Fall ☐Winter Name: _________________________________________________________________ DU ID Number: ___________________________________ Previous Legal Name: _____________________________________________________ Email Address: ____________________________________ Phone Number: _________________________________ Social Security Number: __________________ Birthdate (mm/dd/yyyy): ____________ Permanent Home Address: ___________________________________________________________________________________________________ Street Address City State Zip Mailing Home Address: ___________________________________________________________________________________________________ Street Address City State Zip DU Employee ☐Yes ☐No Have you previously applied to the University of Denver? ☐Yes ☐No Have you previously registered at the University of Denver? ☐Yes ☐No Eligibility for graduate special status is dependent upon receipt of proof of a bachelor’s degree. Please indicate the name of the institution at which you earned your baccalaureate degree. An unofficial transcript or proof of degree is required. Name of academic institution____________________________________ Date of graduation _____________ English Proficiency – Non-native speakers of English are required to demonstrate English proficiency. Students holding baccalaureate degrees but who do not intend to pursue a degree program may be admitted under special status. Proof of bachelor’s degree is required under special status. International applicants must demonstrate proof of English language proficiency and submit the International Special Status Supplement form. For information related to English proficiency requirements, please visit the International Applicant website (http://www.du.edu/learn/graduates/internationalapplicants.html). What is your native language? ____________________________________________________________________________ Citizenship – International and U.S. Permanent Resident applicants are required to submit the International Special Status Supplemental Form. The University of Denver does not issue immigration documents for special status students. ☐ U.S. Citizen ☐ U.S. Permanent Resident (attach the International Special Status Supplemental Form http://www.du.edu/media/documents/graduates/SSIntl.pdf) ☐ International Applicant (attach the International Special Status Supplemental Form http://www.du.edu/media/documents/graduates/SSIntl.pdf) Demographic Information – The University of Denver values the diversity of its student body. We collect this data as one measure of our diversity progress and to comply with federal law. We request your voluntary cooperation in identifying yourself as closely as you can with the racial and ethnic reporting categories below. If the offered categories do not describe you accurately, please select the closest option(s) listed. The information you provide will not be used in any discriminatory manner. Thank you for your assistance. Gender ☐Male ☐Female Do you consider yourself to be Hispanic or Latino? ☐Yes ☐No In addition, please select one or more of the following racial categories to describe you: ☐American Indian or Alaska Native ☐Asian ☐Black or African American ☐Native Hawaiian or Pacific Islander ☐White Are you an active or reserve member of the United States armed forces or National Guard? ☐Yes ☐No Are you a veteran of the United States Armed Forces? ☐Yes ☐No Will you be using VA Benefits? ☐Yes ☐No Application for Graduate Admissions and Registration Special Status Student (Page 2) Name: _________________________________________________________________ DU ID Number: ___________________________________ Class Schedule* Line Number Department Course Number Section Hours Instructor Approval Total Credit Hours Date _____________ Assessed By ___________________________________________________________________________ The University of Denver is an Equal Opportunity Institution. It is the policy of the University not to discriminate in the admission of students, in the provision of services, or in employment on the basis of a person’s race, color, national origin, age, religion, disability, sex, sexual orientation, gender identity, gender expression, genetic information, marital status, or veteran status. The University complies with all applicable federal, state, and local laws, regulations and Executive Orders. Inquiries concerning allegations of discrimination based on any of the above factors may be referred to the University of Denver, Office of Equal Opportunity and ADA Compliance, Mary Reed Bldg., Room 422, 2199 S. University Boulevard, Denver, CO 80208. Phone (303) 871-7436. Return this completed form to the appropriate admission office for processing: Daniels College of Business** Graduate Business Certificates 2044 E. Evans Ave. #340 Denver, CO 80208 303-871-2008│ Fax 303-871-4260 Graduate School of Social Work Office of Admission 2148 S. High Street Denver, CO 80208 303-871-2841 │ Fax 303-871-2845 University College Registration Office 2211 S. Josephine St. Denver, CO 80208 303-871-2291│ Fax 303-871-3303 All Other Programs Office of Graduate Studies Mary Reed, Room 5 2199 S. University Blvd. Denver, CO 80208-4802 303-871-2831 │ Fax 303-871-4942 Sturm College of Law Registrar 2255 E. Evans Ave Ste. 235-B Denver, CO 80208 303-871-6138 │ Fax 303-871-6915 Graduate Tax Program Registrar Ricketson Law Building 390 2255 E. Evans Ave. Denver, CO 80208 303-871-6209 │ Fax 303-871-6358 Special Status Policy Students holding baccalaureate degrees but who do not intend to pursue a degree program may be admitted under special status. Proof of bachelor’s degree is required under special status. International applicants must demonstrate proof of English language proficiency and submit the International Special Status Supplement form. Special status students must secure the appropriate departmental administrator’s signature on the special status form prior to submitting it for registration. Admission as a special status student does not guarantee admission to any University of Denver graduate degree program. In the event that the student subsequently wishes to undertake a degree program at the University of Denver, the regular application procedures must be followed, including the submission of the required application fee. No more than 15-credit hours earned in special status may be applied to the degree. Special status students must apply each term in the appropriate graduate unit. Special status students may not register during priority registration, but may register immediately prior to the beginning of each term. Some academic units do not allow special status enrollment. I certify that I hold a baccalaureate degree, I am in good standing academically and financially in all colleges and universities attended. I understand that this application and all credentials included for my admission file are confidential and become the property of the University of Denver. These documents will not be returned, copied, or released to any person(s) or myself. I certify that the information given in this application is true and complete without evasion or misrepresentation. I understand that willful omission, falsification, or incomplete statements within this application may result in denial of admissions or dismissal. ________________________________ Date _________________________________________________________ Signature *Sturm College of Law special status students do not need to obtain instructor approval. **Contact Lisa Wuthrich for registration information prior to submitting the special status student form.