Application for Non-Degree Seeking 2010qxp

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					                                                                Application for New Non-Degree Seeking Admission
 This application is for students interested in taking courses at KU for the first time and do not wish to apply them toward a KU degree.
 There are restrictions on non-degree seeking students, such as a limited number of credit hours taken per semester and no financial aid
 award is available.
 Students that have earned grades at KU after high school (excluding KU Continuing Education courses) must fill out the Undergraduate Application
 for Readmission. Type or use black ink or you may apply online at Please do not do both. There is a $30 application fee.

 Application deadlines: Spring 2011 – January 7; Summer 2011 – May 24; Fall 2011 – August 8
1. Applicant Information: (Required)

Legal Name: Last                                               First                                 Middle                                    Maiden name or other last names used

Preferred First Name (If different than Legal Name)

 ________ - _____ - __________                                                           Gender:        Female             Male                             /         /
 Social Security Number: (required for financial aid and online status check)                                                                          Birth date: month/day/year

(        )
Applicant’s mailing address: Street                                           City and State                          ZIP code                 County, if Kansas

Home phone: Area code and phone number                         E-mail address                        Permanent Home: City/State/Zip/County
                                                                                                                           3. Race & Ethnic Background:
2. Citizenship: (Required)
                                                                                                                                  Yes , I am Hispanic or Latino.
Are you a U.S. citizen? (If Yes, please skip to #3,Race & Ethnic Background)                                yes       no
If no, are you a permanent U.S. resident?                                                                   yes       no          No, I am not Hispanic or Latino

If yes, please provide a copy of your card and your alien registration number: ______________ What is your race?
If no, will you have non-immigrant status (F-1, J-1, H-4, etc.), while at KU?                               yes       no               American Indian or Alaska Native
If yes, please fill out the international student application. Contact International Student and                                       Asian
Scholar Services at (785) 864-2616.                                                                                                    Black or African American
 Is English your first language?           yes      no                                                                                 Native Hawaiian or Other Pacific Islander
4. Parent or Guardian Information:(this section is optional for applicants who are 21 or older)                                        White
                                                                                                                                               (       )
Name of parent(s) or guardian(s)                                                         Relationship                                          Area code and phone number

Parent/guardian home address: Street                                                                 City and State                                        ZIP code

                                                                                                                              Are you the dependent of a                  yes   no
E-mail address (optional)                                                                                                    KU employee?

5. Kansas Residency Information: (Required)                                                                                       Are you a U.S. military veteran?        yes   no

Are you a resident of the state of Kansas?               yes           no                                                        Are you an active duty member
If yes, provide dates for any period you have lived in Kansas
                                                                                   /     /              /         /              of the U.S. Armed Forces?                yes   no
                                                                                  from M/D/Y            to M/D/Y
                                                                                                                                  Are you the dependent of an
If yes, List your most recent Kansas address                                                                                      active duty member of the               yes   no
                                                                                                                                  U.S. Armed Forces?

Last year, did anyone claim you as a dependent for income tax purposes?                           yes         no                 Do you intend to use the
                                                                                                                                 Montgomery GI Bill Education             yes    no
If yes, who?                                                                                                                     benefits while attending KU?

             Address                             City and state                                                       ZIP code

6. Enrollment information: (Required)
When will you enter KU?               Spring 2011          Summer 2011                   Fall 2011
Have you ever applied to KU before?               yes           no
If yes, did you earn grades at KU after high school?                    yes         no       If yes, STOP - you must fill out the Application for Readmission
7. Educational Information: (Required)

High School or GED                          Name                                    City and State                      Graduation or GED date Mo/Yr
If you plan to take a course at KU that requires a prerequisite (such as math), you must meet that before being allowed to enroll. You must request
the official college transcript be sent directly to KU and inform us which courses you will be taking at KU, so that we may post the necessary
prerequisite courses. Have the college send the transcript to the University of Kansas Office of Admissions and Scholarships, 1502 Iowa Street,
Lawrence, KS 66045-7576.
Do you have an undergraduate bachelor’s degree?              yes      no
8. Program of Study:
As a Non Degree Seeking student, you will be placed in the College of Liberal Arts & Sciences. If you are interested in taking a course in one of the
University of Kansas Professional Schools (.ie. School of Engineering), please contact the Dean’s Office for the school of your interest for permission.

9. Work Experience: (Required if not in high school)
For residency purposes, you must list what you have been doing for the past year. Please list all work experiences during this time. If you were not
working, please list what you have been doing (ex: volunteer, travel, stay-at-home parent, etc.) and the dates of each. Attach extra sheets if necessary.

Name of employer                          Location                                           Dates                            Job title

                                                                                    From               To
                                          City and State                                    Mo./Yr.          Mo./Yr.

                                                                                    From               To
                                          City and State                                    Mo./Yr.          Mo./Yr.

10. Application Fee:(Required)
For admission, send $30 nonrefundable application fee. Send a check, money order, or MasterCard or VISA number (sorry, no other credit cards
are accepted using the paper application) payable to The University of Kansas, Office of Admissions and Scholarships, KU Visitor Center,
1502 Iowa, Lawrence, KS, 66045-7576. Do not send cash. Card type: V ISA             Mastercard

                                                               Expiration date __ /__ Card#: __ __ __ __ /__ __ __ __ /__ __ __ __ /__ __ __ __

Name on Credit Card

Cardholder’s signature

11. Student Certification and Signature: (Required)
I certify that the information provided in this application is true and accurate without evasion or misrepresentation. I understand that this
application is a legally binding document and if this information is found to be false or misleading, this fact alone will be sufficient cause for
my admission to be denied or revoked and my enrollment to be canceled.

Applicant’s signature _____________________________________________________________________                        Date:_________________________

This application can be mailed or hand delivered to the Office of Admissions, KU Visitors Center, 1502 Iowa Street, Lawrence, KS 660
This application can not be faxed or emailed.

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