Non-Matriculated Student
Registration Form
For students not in a degree or certicate program
Term
Fall Spring Summer Year:
Student signature
on paper printout or electronic* ______________________________________________________
Date _____________________________________________________________
*Please see electronic signature options on the Registrar's web page
.
After completing form submit it to:
Registrar's Oce
Cambridge College
500 Rutherford Avenue
Boston, MA 02129
Or email to:
registrar@cambridgecollege.edu
Or fax to:
617.242.0026
rev. 07/30/19
Students Not in a Degree or Certicate Program
— Important
• As a non-matriculated student, I acknowledge that I am allowed
to take up to nine credits. (Certain exceptions based on program,
alumni status or location may apply.)
• Although the courses I complete at Cambridge College as a
non-matriculated student may be evaluated for acceptance into a
Cambridge College program, I know that there is no guarantee that
they will be accepted.
• As a non-matriculated student, I acknowledge that I will not have an
academic advisor assigned. However, it is recommended that I seek
academic advice from the dean, program chair or regional center
director. Courses may not qualify for state licensure programs.
By signing, I acknowledge
that I have read and understand
the policies above and the implications for my academic goals.
Courses
Course #
example: WRT101
Section
example: CA01 Course Title Instructor Credits
Registration cannot proceed if there is a RESTRICTION or HOLD on your account.
Student Information
PLEASE PRINT CLEARLY and COMPLETE ALL INFORMATION
Last name _________________________________________ First name _________________________________ Middle name _________________________
Current Residence:
Address ______________________________________________ Apt _____________________ Phone __________ _________________________
City ______________________________ State _______________ Zip _____________________
E-mail (required) home work ______________________________________________________________________________________________________
Social Security number ____________________________________ Date of birth: Month ____________ Day ___________ Year ______________
Emergency contact:
Name __________________________________________________ Relationship ________________________ Phone __________ _____________________
next time check/conrm demographic
info w/Tracy
Registrar's Oce
Cambridge College
500 Rutherford Avenue
Boston, MA 02129
Phone: 617.873.0101
Fax: 617.242.0026
registrar@cambridgecollege.edu
Demographic Information
Gender: Male Female Transgender Other
Are you Hispanic/Latino: Not Hispanic/Latino Hispanic/Latino
Please check o one or more of the following that best describes yourself:
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian/Other Pacic Islander
White
Prefer to not respond
Country of birth: ___________________________________________________
Country of citizenship: ______________________________________________
Are you a member of the U.S. Armed Forces? Yes No
Student ID#________________________
Your Cambridge College Location
Boston
Lawrence
Springeld
Puerto Rico
Southern California
NEIB
Other_____________
click to sign
signature
click to edit
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