Non-Degree Student Form

Birthdate
Mailing Address




Gender
Are you one or more of the following races?
Have you earned a baccalaureate degree?

Course Selection
If you plan to register for a graduate-level course, please submit the following information.  The list of courses, along with the appropriate CRN and section number, can be found at Course Listings and Schedules.
Department
First Course:
Second Course:
*Please note that submitting this form does not guarantee course registration. A Clark University representative will contact you shortly to confirm your enrollment.  Should you have any questions, contact the Graduate Admissions Office at (508)-793-7373 or by email at gradadmissions@clarku.edu.