SPECIAL STUDENT/VISITING STUDENT

APPLICATION FOR ADMISSION

DrewUniversity

Office of Continuing Education

Madison, NJ07940

973/408-3400

Fax 973/408-3004

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Non-matriculating students wishing to take college courses for credit may apply to this program. All college courses are open to Special and Visiting students on a space-available basis providing all course prerequisites have been met. Special and Visiting students may study at Drew on a part-time or full-time basis for a maximum of two semesters.

Campus housing is available for full-time students if space is available. Students admitted to this program register no earlier than one month prior to the first day of classes for each semester. Tuition and other charges are payable at registration. Please note that financial assistance is not available for this program.

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APPLICATION INSTRUCTIONS

All application materials should be sent to the Director of Continuing Education & Special Programs, Drew University, Madison, NJ 07940. Each application will be evaluated after all of the following documents have been received by the Office of Continuing Education:

1. The completed application form

2. A non-refundable $50 application fee

3. Official transcript(s) of your high school record

4. Official transcript(s) of your college record (if applicable)

5. Drew University Dean of Students Certification and Recommendation Form

6. A personal statement

7. A campus interview scheduled once all supporting documents listed above are received.

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PERSONAL INFORMATION

Legal Name______

LastFirstMiddle

Permanent Home Address______

Street

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CityStateZip code

Cell Phone Number (______)______Home Phone Number (______)______

E-mail Address ______Birth date______

Social Security # ______- __ __ - ______

Semester you are applying for □Fall Semester 20 ____ □Spring Semester 20 ____

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ACADEMIC INFORMATION

Please list all secondary (high) schools you have attended:

Name of SchoolLocation (City, State)Diploma Dates Attended

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Please list all colleges at which you have taken courses for credit:

Name of CollegeLocation (City, State) Degree Awarded Graduation Date

(month/year)

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Are you matriculated at another college? □ Yes □ No

If yes, where?______

What is your academic status at your current (or last attended) college?

□ Academic good standing □ Academic Probation □ Academic dismissal

Expelled For School: □ Yes □ No Reason of Expelling: ______

Convicted By Felony: □ Yes □ No Reason of Conviction: ______

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HOUSING (available only to full-time students with 12 credits or moreon a space-available basis)

Will you want campus housing?□ Yes□ No

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EDUCATIONAL PLANS

Do you wish to study:□ Part-time (1-11 credits)□ Full-time (12-20 credits)

Course(s) you wish to take at Drew:

Why have you chosen the course(s) listed above?

Please tell us how you learned of Drew’s Special and Visiting Program.

My signature indicates that all the information contained in my application is factually correct and honestly presented.

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Signature of StudentDate

Drew admits students of any race, color, sexual orientation, age, religion, handicap, national or ethnic origin to all rights, privileges, programs, and activities generally accorded or made available to students. Drew does not discriminate on the basis of race, gender, color, sexual orientation, age, religion, handicap, national or ethnic origin in employment or in the administration of its educational policies, scholarship programs, and athletic or other college administered programs.