UNIVERSITY OF CENTRAL FLORIDA
REGISTRAR’S OFFICE
SENIOR CITIZEN AUDIT APPLICATION
Page 1 of 2 Last Revised 7/07/14
Return completed form to:
Registrar’s Office
Millican Hall Room 161
407.823.3100 | roenrollment@ucf.edu
SCA
INSTRUCTIONS & FORM
This form is required each term; no application fee is required. Courses taken as “audit” may not be used towards
any degree program. Expenses after the completion of registration include the campus (ID) card, automobile parking
decal and textbooks. Please note, Senior Citizens auditing courses are not considered degree seeking students at UCF.
Complete this form and return to the Registrar's Office.
Complete a Florida Residency Affidavit and submit it with this form (first time registration only).
Provide a completed Health History Form (first time registration only).
UCFID or SSN#
Name (First, Middle, Last)
Date of Birth
Nation of Citizenship
Phone
Email Address
City
County
State
Zip
Sex
Male Female
Ethnic Origin (Items below are required under Title VI of the Civil Rights Act of 1964)?
Hispanic White (not of Hispanic Origin) Black (not of Hispanic Origin)
Asian or Pacific Islander American Indian or Alaskan Native Other
Are you a Florida resident as defined and certified on your Residency Affidavit?
YES NO
Are you currently or have you ever been charged with or subject to disciplinary action for scholastic or any other type of
misconduct at any educational institution?
YES NO
Have you ever been charged with a violation of the law that resulted in probation, community service, a jail sentence, or the
revocation or suspension of your driver's license (including traffic violations which resulted in a fine of $200 or more)?
YES NO
Have you previously taken UCF courses?
YES NO
UNIVERSITY OF CENTRAL FLORIDA
REGISTRAR’S OFFICE
SENIOR CITIZEN AUDIT APPLICATION
Page 2 of 2 Last Revised 7/07/14
Return completed form to:
Registrar’s Office
Millican Hall Room 161
407.823.3100 | roenrollment@ucf.edu
SCA
AUDIT REQUEST
Please use this section as a resource to plan your enrollment. Self-registration for courses is completed online at
https://my.ucf.edu. For information about override availability and procedures, please contact the college or department
offering the course and ask for assistance with the registration process.
Persons 60 years of age or older who meet Florida residency requirements may register to audit classes on a space-
available basis without payment of tuition and application fees. A grade of "X" (noncredit) will appear on the student's
record when auditing a class.
Completing this registration form does not guarantee registration for the course(s). If the course a student wants to take is
closed or needs departmental approval, it is the student's responsibility to contact the department in which the course is
being offered to obtain the appropriate paperwork (see Senior Citizen Audit Registration brochure for additional
information). It is also the student's responsibility to obtain a Fee Invoice to verify registration is complete and to resolve
all registration conflicts by the last day of Late Registration.
Please list below course(s) you wish to register for:
List alternative course(s) below:
I understand that this application is for auditing a course(s) during the term indicated in the Courses to be Audited box. I
certify that the above is correct and complete and that falsifying or withholding information may result in disciplinary
action. I agree to abide by the policies of the Florida Board of Regents and the rules and regulations of this university.
Florida law provides that public agencies, including the University of Central Florida (UCF), must notify individuals of the
circumstances that would require the collection of social security numbers. UCF will collect social security numbers for
use in student admissions and enrollment and included as part of the student’s demographic record, including to
coordinate transition across educational institutions.
Class
Number
Alpha
Prefix
Course
Number
Section
Number
Credit
Hours
Course Title
Time
Day
Building/Room
Class
Number
Alpha
Prefix
Course
Number
Section
Number
Credit
Hours
Course Title
Time
Day
Building/Room
Student Signature
Date