Visiting Student Application

General Information

Fields marked with an asterisk (*) are required.

First Name*

Last Name*

Preferred Name

Birthdate*

Social Security Number

Home Phone

Cell Phone*

Email Address*

Mailing Address*

Country

Street

City

Region

Postal Code

Biographical Information

To meet Federal Regulations, this information is requested for reporting purposes only.

Are you a U.S. Citizen?

Yes

Are you a Permanent Resident Alien?

Yes

Alien Registration #

Citizenship

Visa Type

Are you Hispanic?

Yes

Legal Sex

Female

Male

Enrollment Information

For Which Term Do You Plan to enroll?*

For Which Level of Study Do You Intend to Enroll?*

Courses for which you plan to enroll:

Course Title (1)

Course Number (1)

Course Section (1)

Add a second course?

Yes

Course Title (2)

Course Number (2)

Course Section (2)

Add a third course?

Yes

Course Title (3)

Course Number (3)

Course Section (3)

Academic History

Have you ever attended Notre Dame College?*

Yes

If yes, start date*

If yes, end date*

High School Name:*

High School Graduation Date*

Have you attempted any college coursework?*

Yes

School Name*

Level of Study*

Attendance Start Date*

Attendance End Date*

Please upload unofficial transcripts from your current institution:

Add another school?*

Yes

School Name*

Level of Study*

Attendance Start Date*

Attendance End Date*

Add another school?*

Yes

School Name*

Level of Study*

Attendance Start Date*

Attendance End Date*

Other

Have you ever been convicted of, or are currently being charged with, a criminal offense other than minor traffic violations?

Yes

Please explain

Have you ever placed on disciplinary probation, declared ineligible to register for nay period of time, suspended, or dismissed from any high school, college, or university?

Yes

Please include the name of the institution, date of action, and fully explain incident(s)

Prior to submitting, please click the boxes below to agree to the following statements:

Should I wish to become a degree-seeking student, I understand that I must apply for formal admission to the college. I also understand that I will be required to follow the catalog of requirements and academic policies in effect and operative at the time of formal admission.

This statement of Admission Exempt Status is solely for the term and year as indicated above. It must be completed for each term attended.

I must adhere to Notre Dame College financial policies as indicated at http://www.notredamecollege. edu/admissions/financial‐information/Financial‐Policies