Fillable APPLICATION FOR NON-DEGREE ADMISSION UNDERGRADUATE PART TIME (Union College)

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APPLICATION FOR NON-DEGREE ADMISSION UNDERGRADUATE PART TIME (Union College)

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APPLICATION FOR NON-DEGREE ADMISSION
UNDERGRADUATE – PART TIME
___________________________________________________________________
Year of Entrance: Term of Entrance:
___________________________________________________________________
Name: Social Security No:
Last Name First Name M.I.
Permanent Address: __________________________________ Date of Birth:
__________________________________ Place of Birth: _________________________________________
Home Phone: Country of Citizenship: __________________________________
Mailing Address: Visa Status?
Current Employer:
(If Applicable)
Cell Phone: Business Address:
Email Address: Position/Title:
Gender: Business Phone:
Are you a Union College employee? Yes No
Are you the spouse or dependent of a Union College employee? Yes No
____________________________________________________________________________________________________________
Please indicate the reason(s) why you are taking non-degree courses at Union College:
PLEASE FILL OUT THE BACK OF THIS FORM REV 05/18/20
Registrar’s Office
Silliman Hall
Schenectady, NY 12308
Phone 518-388-6109
Fax 518-388-6173
registrar@union.edu
PREVIOUS EDUCATION: List all high schools and colleges attended.
Name of Institution Location
Degree
Major
Date Transcript
Requested
Applicants are required to supply an unofficial copy of their high school transcript or equivalency or a copy of their most recent
college transcript.
___________________________________________________________________________________________________________
I CERTIFY THAT ALL INFORMATION PROVIDED IN THE APPLICATION AND ACCOMPANYING DOCUMENTS
ARE CORRECT TO THE BEST OF MY KNOWLEDGE.
Signature: Date: _____________________________________
Mail Application, $25.00 application fee and unofficial copy of transcripts to:
Union College
Registrar's Office
Silliman Hall
Schenectady, NY 12308
THIS IS A TWO PART QUESTION; PLEASE ANSWER QUESTIONS IN BOTH SECTIONS, A. and B.
A. Ethnicity: Are you Hispanic/Latino? Yes No
Hispanic: A person of Mexican, Puerto Rican, Cuban, Central or South American or other Spanish culture or origin; regardless of race.
B. Race: Please select one or more of the following racial categories to describe yourself:
WHITE: A person having origins in any of the original peoples of Europe, the Middle East or North Africa.
AMERICAN INDIAN OR ALASKAN NATIVE: A person having origins in any of the original peoples of North and South
America (including Central America) who maintains cultural identification through tribal affiliation or community attachment.
BLACK or AFRICAN AMERICAN: A person having origins in any of the black racial groups of Africa.
ASIAN: A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent,
including, for example: Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand and Vietnam.
NATIVE HAWAIIAN or OTHER PACIFIC ISLANDER: A person having origins in any of the original peoples of Hawaii,
Guam, Somoa, or other Pacific Islands.
NON RESIDENT ALIEN: A person who is not a citizen or national of the United States and who is in this country on a visa or
temporary basis.
____________________________________________________________________________________________________________
FOR OFFICE USE ONLY:
Application Fee Paid _________________________________ Application Fee Waived ____________________________________
____________________________________________________________________________________________________________
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APPLICATION FOR NON-DEGREE ADMISSION UNDERGRADUATE PART TIME (Union College)

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Completed 28 August 2020

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