NON-DEGREE SEEKING STUDENT APPLICATION
WhoShouldUseThisApplication:
Studentswishingtoenrollinoneofmoretraditionalundergraduatecoursesoffered
throughourdayprogramwhodonotintendtoseekabachelor’sdegree.Typically,
nondegreeseekingstudentsmustreapplyeachterminwhichtheywishtoenrollin
courses.
Studentsinterestedinseekingabachelor’sormastersdegreefromFurmanshould
notusethisapplication.Applicationsfortraditionaldegreeseekingstudentsare
availablethroughAdmissions.
PERSONAL DATA
LEGAL NAME
LAST FIRST MIDDLE
MALE FEMALE
DATE OF BIRTH
ADDRESS
STREET CITY STATE ZIP CODE
( ) ( )
PERMANENT PHONE NUMBER MOBILE NUMBER EMAIL ADDRESS
The following information is optional. No information you provide will be used in a discriminatory manner.
Social Security
Number:
If you wish to be identified with a particular ethnic group,
please check all that apply:
First language, if other
than English:
Are you Hispanic or Latino?
Yes, Hispanic or Latino (including Spain) No
Regardless of your answer to the prior question, please select
one or more of the following ethnicities that best describe you:
American Indian or Alaska Native (Original Peoples of the
Americas)
Asian (including Indian subcontinent and Phillipines)
Black or African American (including Africa and Carribean)
Native Hawaiian or Other Pacific Islander (Original Peoples)
White (Including Middle Eastern)
Language spoken at
home:
Citizenship
US Citizen
Dual Citizenship
-other country: ____________________________
US Permanent resident visa; citizen of ________________
-Alien registration number ______________________
Other citizenship: country(ies) _______________________
-Visa type ____________________________
REASON FOR ATTENDANCE
Prepare for Specific Travel or Workplace
Personal Enrichment
Transfer Credit to another College or University (transient student)
Meet Pre-requisites for graduate or professional program
Seeking post-baccalaureate or some other type of certification
Other:
EDUCATIONAL INFORMATION
SendyourhighschooltranscripttotheAdmissions Office onlyifyouhaveneverattended
anyothercollegeoruniversity.
NAME OF HIGH SCHOOL CITY STATE DATE OF GRADUATION
Listallcollegesoruniversitiesatwhichyouhavetakencoursesforcredit.Sendan
officialtranscriptfromeachinstitutiontotheAdmissionsOfficeassoon aspossible.
NAME OF INSTITUTION CITY STATE
DATES
ATTENDED
DEGREE
EARNED
Pleaselistthetermyouintendtobeginattendanceandcourse(s)youareinterestedin
completingatFurman:
TERM
COURSE
NUMBER
COURSE
TITLE
- -
- -
- -
- -
I certify that all information provided in this application is complete and correct.
To be considered for admission as a non-degree student, you must:
1. Complete this application and return it to the Admissions Office
2. Make arrangements for official transcripts to be sent to the Admissions Office
SIGNATURE
DATE
CLEAR CHECKLIST AND START OVER!