Non-Degree Applications

Biographical Information

First Name

Middle Name

Last Name

Alternate Last Name(s) (i.e. maiden name; if more than one, separate with commas)

Social Security Number
(used to identify you in our system and not shared with others)

Birthdate

Legal Gender

Female

Male

Ethnicity

Address Information

Mailing Address

Country

Street

City

Region

Postal Code

Residency and Citizenship Information

PA Resident

Yes

No

How many years have you been a PA resident?

US Citizen

Yes

No

Country of Citizenship

Visa Classification

Contact Information

Phone Number

Email Address

Application Information

Preferred Course Level

I am seeking Graduate level courses

I am seeking Undergraduate level courses

Term Applying For

Application Type - Graduate Level

Application Type - Undergraduate Level

Education Information

I have obtained a bachelors degree from another institution.

Yes

No

I am currently enrolled at another University.

Yes

No

Most Recent School Attended or Current College Name

School Type

High School

College/University

College Start Date or High School Graduation Date

Additional Information

Have you ever been found responsible for a disciplinary violation at any educational institution you have attended from the 9th grade (or the international equivalent) forward, whether related to academic misconduct or behavioral misconduct, that resulted in a disciplinary action? These actions could include, but are not limited to: probation, suspension, removal, dismissal, or expulsion from the institution.

Yes

No

If yes - Please give the approximate date(s) of each incident, explain the circumstances and reflect on what you learned from the experience. You may use up to 400 words.

Have you ever been adjudicated guilty or convicted of a misdemeanor or felony? Note that you are not required to answer "yes" to this question, or provide an explanation, if the criminal adjudication or conviction has been expunged, sealed, annulled, pardoned, destroyed, erased, impounded, or otherwise required by law or ordered by a court to be kept confidential.

Yes

No

If yes - Please provide the details of your criminal conviction or adjudication and reflect on what you learned from the experience. You may use up to 400 words.