Fillable Office of Undergraduate Admissions Email Address Home Phone (Nazareth College)

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Office of Undergraduate Admissions Email Address Home Phone (Nazareth College)

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Office of Undergraduate Admissions
4245 East Avenue
Rochester, NY 14618
(585) 389-2860
Colleges Attended Dates # of Credits GPA Degree
*Non-matriculated students must matriculate upon completion of 12 hours of undergraduate course work. Taking courses non-matriculated
does not guarantee acceptance into a degree program. There is no financial aid for non-matriculated students.
Undergraduate Non-Matriculated
Course Application
Yes No
How did you hear about Nazareth?
Do you have a high school diploma? Or GED? Date completed
I certify the information which I have given is complete and true to the best of my knowledge, I acknowledge responsibility for the course selection(s)
below.
______________________________________________________________________________________________________________________
Signature Date
Course Selections Term:_____________________
SYN Course Number Section Credit Hours
___________ ___________ __________ __________ ___________
___________ ___________ __________ __________ ___________
___________ ___________ __________ __________ ___________
Total:
Be advised: many courses have a co-requisite lab for which you will automatically be registered. If you have questions concerning a
particular course, please check NazNet at naznet.naz.edu or contact the Registrar’s Office at 585-389-2816 or registrar@naz.edu
.
______________________________________________________________________________________________________________________
Last Name First Name Middle Initial
______________________________________________________________________________________________________________________
Street City State Zip
_________________________________________________________________________________
Fem
__________________
ale
Male
___________________
Social Security # or Naz ID Date of Birth
Gender
______________________________________________________________________________________________________________________
Email Address Home Phone Work Phone
Hispanic/Latino Non-Hispanic/Latino American/Alaska Native Asian Black or African Am.
Hawaiian
______________________________________________________________________________________________________________________
Ethnic Origin (optional) Race (optional)
Program Interest
Initials:
Admissions Registrar
Updated 1/12/2017
White
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Office of Undergraduate Admissions Email Address Home Phone (Nazareth College)

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Completed 1 February 2021

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