Fillable Visiting Student Registration Form Undergraduate (Saint John's University)

Fill Online, Printable, Fillable, Blank Visiting Student Registration Form Undergraduate (Saint John's University) Form

Use Fill to complete blank online SAINT JOHN'S UNIVERSITY (NY) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Visiting Student Registration Form Undergraduate (Saint John's University)

On average this form takes 35 minutes to complete

The Visiting Student Registration Form Undergraduate (Saint John's University) form is 2 pages long and contains:

  • 0 signatures
  • 20 check-boxes
  • 129 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Saint John's University (NY)

BROWSE SAINT JOHN'S UNIVERSITY (NY) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
••
•
1
Visiting Student Registration Form
Undergraduate
•
•
•
DOC TYPE: APP_UG
Important: Please type or print clearly.
Social Security Number (Optional) Date of Birth (Month/Day/Year)
I am applying as a visiting student for the
Queens campus Staten Island campus
8000 Utopia Parkway 300 Howard Avenue
Queens, NY 11439 Staten Island, NY 10301
I plan to start in
Fall 20 (September) Spring 20 (January) Summer 20
Applicant’s Last Name (Surname) First Name (Given Name) Middle Name
Address (Number and Street Address) Apartment No.
City State/Province Zip/Postal Code Country
Home Telephone (Include Area Code) Work Telephone (Include Area Code)
E-mail Address Gender Male Female
Have you previously attended St. John’s University? Yes
No
Ethnic Origin (Optional)
• In order to register, this form must be signed by a dean or registrar on side 2.
Completed form may be sent via fax to 718-990-1677, via e-mail (for scanned copy) to
visitingstudent@stjohns.edu, or via mail to:
St. John’s University
Office of the Registrar
Newman Hall, Room 106
8000 Utopia Parkway
Queens, NY 11439
M1-10465/LR
Please read the instructions below carefully and complete the entire application.
Submit this form to the Office of the Registrar.
Please check one:
Select one or more categories to indicate what you consider yourself to be:
Hispanic or Latino Not Hispanic or Latino
American Indian or Alaskan Native
Native American or Alaskan Native
Asia
Asian or Far East
Indian Subcontinent
Asian, Other __________________
Black or African-American
Black, African-American
Black, African
Black, Caribbean/West Indian
Black, Other
Hispanic
Hispanic, Cuban
Hispanic, Mexican
Hispanic, Puerto Rican
Hispanic, South/Central American
Hispanic, Other ________________
Native Hawaiian
or Other Pacific Islander
Native Hawaiian
Pacific Islander
White
Arab, N. African, Middle East
Caucasian, All Other Heritage
•
•
•
•
DOC TYPE: APP_UG
2
Previous Dismissal or Suspension
Have you ever been disciplined for misconduct, suspended, expelled, or required to withdraw from any secondary or
postsecondary educational institution? If yes, please explain on a separate sheet of paper. Yes No
Have you been convicted of a felony? If yes, please explain on a separate piece of paper. Yes No
Your Signature
I, the undersigned, hereby apply for admission to St. John’s University. If accepted, I agree to abide by all the rules and regulations of the
University, including those set forth in the University bulletins. All information contained herein is, to the best of my knowledge, true
and complete. (Any omission or falsification of records is grounds for dismissal.)
Signature _________________________________________________________ Date (Month/Day/Year)
___________________________
Certification
Courses to be Taken at St. John’s
Please indicate courses in order of preference. For a list of available courses, please visit stjohns.edu/courses.
Subject Course Number Course Reference Credit Hours Summer Session Only
Number [CRN] Pre Summer I Summer II Post Fall Spring
Educational Background
Name of College/University
City State From (Month/Year) To (Month/Year)
Graduation Date or
Expected Graduation Date
Certification for Students Enrolled in Other Institutions of Higher Education
This is to certify that _____________________________________ is in good standing at _________________________________ and
(Student Name) (Name of Institution)
has permission to register for the courses listed above.
_________________________________________________ _________________________________________________
(Signature of Dean/Registrar) (Title)
For more information, please visit our website at stjohns.edu/visitingstudents or call 1-888-9STJOHNS or 718-990-2000.
M1-10465/LR
Religious Affiliation
Please check one:
Baptist Islamic Mormon/LDS Russian Orthodox Other _____________________
Buddhist Jehovah’s Witness Pentecostal Seventh Day Adventist
Episcopal Jewish Presbyterian Sikh
Greek Orthodox Lutheran Protestant Non-Denominational
Hindu Methodist Roman Catholic None
__________________________
__________________________
__________________________
__________________________
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Visiting Student Registration Form Undergraduate (Saint John's University)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 1 February 2021

Message

View Audit Log
Print With Audit Log
Duplicate Document