Quick Admit Registration Form
(For part-time undergraduate students only.)
Quick Admit: The quick admit policy limits undergraduate students to a total of 12 credits. If a student wishes to take more than 12 credits, he
or she must seek formal admission to the University through the Admissions Office. This does not apply to any post-baccalaureate students
who received their degree through Clarion University. Students who are returning to Clarion University after a period of absence and who
were previously accepted under a regular application, should follow the readmit process available at http://www.clarion.edu/readmit
.
Graduate students should contact Graduate Admissions at 814-393-2337.
This is a non-degree program and as a result, students are not eligible to receive financial aid. If you are interested in pursuing an associates or
bachelor’s degree program at Clarion University, please complete the regular admissions process at www.clarion.edu/apply
. Students seeking
a degree may receive financial aid.
Name Clarion ID/SSN
Permanent Address 1 Cell/Day Phone No.
Permanent Address 2 Birthdate Gender
County State of Residency Country of Citizenship
Please check if you are sponsored by the following program: SACM IIE BSMP
If you are not a US citizen, please provide a permanent address:
E-mail (This e-mail address will be used to confirm your registration)
Optional:
What is your ethnicity? Hispanic or Latino Not Hispanic or Latino
What is your race? Mark one or more races to indicate what you consider yourself to be:
American Indian or Alaskan Native Asian Black or African American Native Hawaiian or other Pacific Islander White
If you previously attended Clarion University, please indicate the dates of attendance:
Status: Transfer Transient Freshman
Location Choice: Clarion Venango Pittsburgh Online
Please indicate the session you will be attending: Spring Summer Fall
Off-Site/Other
Winter Intersession
Official High School Name or General Equivalency Diploma (GED) Address (city/state) Graduation/GED Date (month/year)
If you are a transfer or transient student, please list the following:
Full Name of College (no abbreviations please) Degree/QPA Last date attended or Graduation (month/year)
Do you have disciplinary actions pending (or charges filed against you) at any previous college: Yes No
Have you been convicted of a felony? Yes No
Registration: The Registrar’s Office will contact you via the e-mail address specified on this form with information on how to register for
classes. You will be held responsible for tuition and fees incurred by your enrollment. If you decide not to take the course(s), please notify the
Registrar’s Office before the first day of the semester.
Undergraduate students requesting more than five credits for the 3 week session or more than seven credits per five-week session must have a
cumulative GPA of at least 3.00 and prior approval from the college dean. A maximum of one course may be taken in winter intersession.
Admissions – Clarion University of Pennsylvania 5/2016
