School of Professional and Graduate Studies
Application for Admission

Non-Matriculated Status

Please provide student applicant information:

* - Indicates Required Fields

Name of Course(s) you intend to complete






Level of Entry
Undergraduate Graduate
   Semester of Entry
   Year

Have you previously attended the College of Mount Saint Vincent?
Yes No

Applicant Information
*Last Name   
* First Name


Social Security Number (For internal recording purposes only.):
- -
   
* Email  

Telephone Number (please include area code)

*Mailing Address (include number, street and apartment number):

Street  
   
City/Town  
State  
Zip Code      
Country(if not US)  


Citizenship:
  Country Of Citizenship (if not the US)    

*How did you hear about us?


*Are you a veteran or are you currently active military?
Yes, I am
No, I am not

Colleges and Universities Attended
List all colleges or universities you have attended or are now attending (If you have no college credit please list the name of your high school and dates attended):

Name of School Location Date of Entrance Date of Exit Degrees Earned

Emergency Contact
*Only to be contacted in case of emergency

Name
Home Phone
Cell Phone

Please read the following and sign where indicated:

I certify that all of the information provided is true and complete. I understand that non-matriculated status means that I have not been accepted to the College and am not eligible for financial aid programs adminis-tered by the College. Therefore, I assume all responsibility for all tuition and fees generated by my registra-tion. Furthermore, permission to take a course or courses at the college as a non-matriculated student does not imply eventual admission to the College. Admission to the College requires the submission of a formal appli-cation to the Office of Admission. Decision for admission depends on the evaluation of academic background and records. However, performance in courses will be seriously considered as one of the admission criteria’s.

I HAVE READ THE ABOVE REQUIREMENTS, AND AGREE TO ABIDE BY THE RULES AND REGULATIONS OF THE COLLEGE OF MOUNT SAINT VINCENT AND THE COLLEGE PROGRAMS.


Full Name (filling in this box is considered the same as a signature):
Date (mm/dd/yyyy):


The College of Mount Saint Vincent does not discriminate against any applicant for admission to the College
because of race, sex, color, alien, age, citizenship, religion, sexual orientation, disability or marital status. Admission to the College of Mount Saint Vincent is based solely upon the applicant's qualifications and ability to meet educational requirements.

If you have finished your application press SUBMIT. You will receive a confirmation email.