Quick Application for Transient or Non-Degree Students

This application is only for students applying to Concord University as a visiting or non-degree seeking student. There is no application fee required.

Transient Student: Degree-seeking student in good standing at another college or university who would like to enroll in courses.

Non-Degree Student: Enrolling in courses for academic enrichment with no plans to earn a degree from Concord University.

High School - Currently enrolled in a local high school and registering for university courses.

Entry Term

I would like to enroll as:

What do you hope to accomplish at Concord as a Non Degree seeking student?

Are you an Upward Bound student?

Yes

No

Are you participating in an international student exchange program?

Yes

No

Exchange Program

Do you plan on taking English as a Second Language classes (ESL)

Yes - I will take ESL classes

No - I will provide TOEFL/IELTS scores

How many semesters do you plan to study at Concord University?

Academic Program

City of birth

Country of Citizenship

Please upload the data page of your passport.

Are you participating in the Dual Credit Pathway Pilot Project?

Yes

No

What is your anticipated major?

Are you enrolled at an institution in dual enrollment courses?

Yes

No

Name of institution(s):

What courses have you taken?

First Name

Middle Name

Last Name

Social Security Number

Birthdate

Citizenship

Email Address

Home Phone

Do you currently attend a high school, college or university?

Yes

No

Level of Study

Please provide name of current institution:

Expected Graduation Date:

Will you be participating in the Grow Your Own Program? (WV residents of Summers and Monroe counties only)

Yes

No

Home Address

Country

Street

City

Region

Postal Code

Is this the same as your mailing address?

Yes

No

Mailing Address

Country

Street

City

Region

Postal Code

We are required by federal law to solicit certain demographic information to meet federal reporting requirements. These questions will not be used in a discriminatory manner.

Gender:

Female

Male

Are you Hispanic/Latino?

Yes

No

Which of the following do you consider to be your racial background? Please check one or more that apply:

Have you previously applied to Concord University?

Yes

No

What term/year?

I certify that all statements in this application are complete and true and give Concord University permission to use this information for internal statistical and reporting purposes. I further understand that any willful representation of information given in this application may be grounds for denial of my admission or dismissal.

Date