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Non-Matriculated Student Application
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If you plan to register for a Clark University course as a non-matriculated student, please submit the following information.
Submitting this form does not guarantee course registration.
First Name
Middle Name
Last Name
Email Address
Phone Number
Birthdate
Birthdate
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February
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May
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July
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1
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1912
1911
1910
1909
1908
1907
1906
1905
1904
1903
1902
1901
1900
Mailing Address
Mailing Address
Country
Street
City
Region
Postal Code
Legal Sex
Legal Sex
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Gender Identity
Agender
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Gender Queer
Genderfluid
Man
Nonbinary
Other-non listed
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Questioning
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Preferred Pronouns
He/Him
He/They
Other-not listed
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She/They
They/Them
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Ze/Zem
Ze/Zir
Citizenship
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Austria
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Bahrain
Bangladesh
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Bassas Da India
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius, and Saba
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Botswana
Bouvet Island
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British Indian Ocean Territory
British Virgin Islands
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Burundi
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Cameroon
Canada
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Cayman Islands
Central African Republic
Chad
Chile
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Cook Islands
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Dominican Republic
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El Salvador
Equatorial Guinea
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Faroe Islands
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Gambia, The
Gaza Strip
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Greenland
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Marshall Islands
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Nigeria
Niue
Norfolk Island
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Oman
Pakistan
Palau, the Pacific Islands of
Palestine
Panama
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Philippines
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Poland
Portugal
Qatar
Reunion
Romania
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Rwanda
Saint Barthelemy
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Saint Kitts and Nevis
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Seychelles
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Solomon Islands
Somalia
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South Sudan
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Spratly Islands
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Sweden
Switzerland
Syria
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Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
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Trinidad and Tobago
Tromelin Island
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Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
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Ukraine
United Arab Emirates
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United States
Uruguay
Uzbekistan
Vanuatu
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Venezuela
Vietnam
Wallis and Futuna Islands
Western Sahara
Yemen
Yugoslavia
Zambia
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 authorize us to request your transcript from the Clark University Registrar's Office on your behalf?
Yes
No
Non-matriculated Course Information
To confirm your course of interest is available in an upcoming term, please visit the
Courses and Schedules website
offered by the Clark University Registrar's Office.
Non-matriculated undergraduate coursework is only offered through the School of Professional Studies.
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
2025 Fall
2025 Spring
2025 SPSUG
2025 Summer
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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App Submitted (Hidden)
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