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Non-Matriculated Student Application
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If you plan to register for a graduate-level course, please submit the following information.
Submitting this form does not guarantee course registration.
First Name
Middle Name
Last Name
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Phone Number
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1900
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Mailing Address
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Gender
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They/Them
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Bahrain
Bangladesh
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Gaza Strip
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Greenland
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Zimbabwe
Are you one or more of the following races?
Are you one or more of the following races?
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Other
I prefer not to respond.
Why are you pursuing a Clark University course as a non-matriculated student?
Please select all that apply.
Why are you pursuing a Clark University course as a non-matriculated student?
Please select all that apply.
I am considering getting my graduate degree
I wanted to take a course for personal/professional enrichment
I am a Worcester Public School Teacher
I am a student from another educational institution
I am a HFUT Summer student
I am a current Clark University Employee
I am a former Clark University student
I am fulfilling a course pre-requisite before matriculating at Clark University
Other
What is your Clark ID number?
Do you plan to take a graduate or undergraduate course?
Graduate
Undergraduate (through SPS)
What division does your course fall into?
Arts & Sciences
International Development, Community and Environment
School of Management
School of Professional Studies
What division does your course fall into?
Nonmatriculated SPS Students (Undergraduate)
Planned Entry Term
Fall 2024 (Graduate)
Summer 2024 (SPS Undergraduate)
Fall 2024 (SPS Undergraduate)
Which course do you plan to take during your non-matriculated semester?
Did a professor/Department invite you to take a course?
Did a professor/Department invite you to take a course?
Yes
No
Please include the professor's name and/or Department's name
Please upload copy of a transcript from the highest level of degree completed if available. NOTE: This is not required to complete this form, but
is
required to confirm enrollment as a non-matriculated student. Graduate courses require completion of a bachelor's degree.
Certification
Certification
By checking this box, I certify that all information submitted within this form is true and accurate. I understand that I may be subject to admission revocation or revocation of course credit and grades should the information I certified be false.
Clark University will send you a decision letter via email to confirm your enrollment. Should you have any questions, please contact the Graduate Admissions Office at (508) 793-7373 or by email at
gradadmissions@clarku.edu
.
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