Application for Graduate Admissions and Registration

advertisement
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.
Download