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Application for Admission to Graduate School for Fall __________
Visiting Student Nondegree Application for Admission
Application Information
A completed application needs to be received three (3) months in advance of your intended start date. Admission is offered
to qualified students without regard to age, race, gender, sexual orientation, marital status, veteran status, or disability.
Please indicate the program to which you are applying:
Biographical Information
All names should be written/listed as printed in passport.
First Name Middle Name Last (Family) Name
Marital Status Gender
Married Female
City, State & Country of Birth
Single Male
Date of Birth MM - DD - YYYY
U.S. Social Security Number
(if applicable)
Country of Citizenship
Citizenship
U.S.
Non U.S.
Perm Resident – Alien Registration Number__________________
Country of
Perm Res
A-
Dual Citizenship
Yes
No
Country ____________________
Visa Information International Applicants Only If you are an applicant for
Country of Residence Current Visa Type
Permanent Residence what is
your USCIS Receipt Number? _____________________________
Princeton University is subject to certain governmental recordkeeping and reporting requirements. In order to comply with these requirements,
Princeton invites you to self-identify your ethnicity and race voluntarily. Refusal to identify your race and ethnicity will not subject you to any adverse
treatment. Please answer both questions.
Hispanic Ethnicity – Do you consider yourself to be Hispanic or Latino(a)? (select only one)
No, I am not Hispanic or Latino(a) Yes, I am Mexican American, Chicano(a) Yes, I am Puerto Rican
Yes, I am Hispanic or Latino(a) culture or origin including South American, Central American, Cuban, or other Spanish culture or origin
Racial Identity – In addition, select one or more of the following racial categories to describe yourself
American Indian or Alaska Native a person having origins in any of the original peoples of North & South America (including Central America), and who
maintains a tribal affiliation or community attachment Tribal Affiliation ___________________________________ Date Enrolled __________________
Asian a person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example,
Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam
Black or African American a person having origins in any of the black racial groups of Africa
Native Hawaiian or Other Pacific Islander a person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands
White a person having origins in any of the original peoples of Europe, the Middle East, or North Africa
Mailing Address All communications will be sent using this address. If your address changes, please email any changes to
Contact Information
nondegree@princeton.edu.
Address Line 1
Address Line 2 if applicable Address Line 3 if applicable
City
State/Province Zip/Postal Code
Country
Phone E-Mail
Permanent Address If you are a non U.S. Citizen or U.S. Permanent Resident you MUST provide a permanent address outside the U.S., even if you are currently
residing in the U.S. **Without this information we will not be able to issue you visa eligibility document (I-20 or DS-2019). Spell out each detail in its entirety.
Do NOT abbreviate. U.S. Citizens and U.S. Permanent Residents are also required to provide a permanent address even if it is the same as the mailing address.
Address Line 1
Address Line 2 if applicable Address Line 3 if applicable
City
State/Province Zip/Postal Code
Country
US Military Experience
Are you on active duty and/or a veteran of the United States Armed Forces? No Yes If yes, branch ____________
Military Status
Are you a dependent of an active duty and/or a veteran
Nonveteran (NV) Dependent of Deceased War Veteran (DV)
member of the United States Armed Forces?
Veteran Eligible for Benefits (VE) Active Duty
No Yes
Veteran Not Eligible for Benefits (VN) Reserve/Guard
Vocational Rehabilitation (VR)
No Yes
External Financial Awards
Are you applying for external fellowship support?
If so, please provide the name of the fellowships, agencies, or foundations to which you have applied:
Department applying to:
Visiting Student
Daniel M. Sachs Scholarship at Princeton
Jane Eliza Procter Visiting Student Fellowship
William Alexander Fleet Fellowship
Other
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