Undergraduate Application for Part-Time Enrollment

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A non-refundable processing fee of $25.00 must accompany this application.

School of Continuing Studies students in good standing may enroll in up to 13 credits per semester. All new students as well as students not enrolled during the previous semester must complete this application. Students who attended other Tulane divisions within the last year must file an Interdivisional Transfer through their Dean's office.

Application Year:*  Term:*  E-Mail Address:*  (personal e-mail address only; no work e-mail address, please)
Salutation
Mr  Ms  Mrs*
First Name*
Middle Name
Last Name*
Social Security Number*
 -  -
 
Address*
City*
State*
Zip*
Phone*
Employer Information -- Employer Name:
Address
City
State
Zip
Phone
Citizenship status:*
Type of visa
Country
Date of Birth*
Gender:*
Male Female
Your ethnicity (optional) -- Are you of Hispanic or Latino descent? Yes: No:

Please check all that apply:
American Indian or Alaskan Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White


How did you find out about the School of Continuing Studies?*
TV        Radio        Newspaper        Billboard
Direct Mail        Website        Friend        College Fair        Other
If other, please specify:

At which campus do you prefer to take most of your classes?*
Uptown        Elmwood        Mississippi Coast        Madison

Financial aid is available only for students enrolled in a degree or certificate program.
To enroll in a program, see your academic advisor and complete a major declaration form.

Academic Area of Interest:*
Note: For admission information only; you must see an academic adviser to declare a major.
Applied Computing Systems & Technology
Health & Wellness
Humanities
Public Relations
Website Development
Social Sciences
Business Studies
Homeland Security Studies
Liberal Arts & Sciences
Digital Design
Paralegal Studies
Other

 

College Objective:  
High School*
Location:(City and State)*
High School Graduation Date MM/YYYY:*

If you have never attended college, you must send a copy of your high school diploma to the School of Continuing Studies
by the end of the first semester you are enrolled.

 

College Education: List all colleges / universities attended, even if you withdrew without receiving credit. Include all divisions of Tulane attended.
If previous transcripts/diplomas are in a different name, please provide that name:

College Location Month/Year to Month/Year Degree Awarded

Degree & certificate program applicants: Ask each college to send an official transcript directly to the School of Continuing Studies.
125 Gibson Hall Tulane University, New Orleans, LA 70118-5698

Have you attended the School of Continuing Studies before? Yes No Last Year Attended:

Have you ever attended a school of Tulane University other than the School of Continuing Studies? Yes No Last Year Attended:

Academic Standing:* Were you ever suspended or dismissed from the last institution you attended?   Yes   No
If yes, please specify institution, dates and circumstances:
Institution: Term: Year: Circumstances:

Were you ever required to withdraw from the last institution you attended?    Yes   No
If yes, please specify institutions, dates and circumstances:
Institution: Term: Year: Circumstances

Were you on academic probation at the time you left the last institution you attended?    Yes   No
If yes, please specify institutions, dates and circumstances:
Institution: Term: Year: Circumstances

Students who fail to include each college/university attended, even if no credit was earned, and/or students who submit false or incomplete information pertaining to their academic status may be immediately dismissed from the School of Continuing Studies. In the event of dismissal, students will earn no credit for courses in progress, and students may be responsible for all financial obligations incurred.
If you have a code from a direct mail piece, enter it here.

Attention: The School of Continuing Studies accepts only MasterCard and Visa Online.

Card Number: *
Expiration Date: (mm/yy)*

REQUEST FOR EXEMPTION FROM IMMUNIZATION:

If you request exemption for medical or personal reasons,
please check the appropriate box and provide the information requested.

Medical reasons Personal reasons

State Reasons:

I understand that if I claim exemption for personal or medical reasons, I may be excluded from campus and from classes in the event of an outbreak of measles, mumps, or rubella until the outbreak is over or I submit proof of immunization. If I am not 18 years of age, my legal guardian must sign the original immunization document. I also understand that if I become a full-time student, I must submit my immunization documentation to the Student Health Center as required by State law.

* Required fields that must be filled out.
I understand that I am responsible for all financial obligations to Tulane University as a result of the admission and course registration process, including but not limited to, tuition, fees, and finance charges.

I certify that all the information provided in this application is factual

factually correct and honestly presented.(This check box is required.)

Tulane University does not discriminate on the basis of race, sex, color, religion, national/ethnic origin, age, citizenship, marital status, sexual orientation, handicap or veteran status.