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Non-Matriculated Registration Form



A copy of this form will be sent to the Registrar's Office. All requests take 3-5 business days to process.

Fields marked with a * are required fields



General Information

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Faculty/Staff
Non-Matriculated Student: Undergraduate Graduate
Visiting Student: Undergraduate Graduate
Alumni
Other:

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In case of emergency, contact:

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Degree and Criminal History Status

Yes No




Citizenship Information

IF YOU ARE NOT A U.S. CITIZEN:

IF YOU ARE A U.S. CITIZEN:

U.S. CITIZEN AND NON U.S. CITIZEN:

American Indian or Alaska Native
Black or African American
White
Asian
Native Hawaiian or Other Pacific Islander

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Course Information

Course Audit?
(Y or N)
Course Title
AAAS 106 1 N The Making of Modern Africa


Tuition and Fees Information

For course rates during regular academic terms, please visit the Continuing Studies Site

For course rates during the summer term, please visit the Summer Site


Financial Certification

I certify that I am financially responsible to the University of Rochester for any and all charges incurred. I further certify and understand that, should my student account not be kept current, the University has the right to assess collection costs, late payment fees, and place a hold on my account that prevents further registration and printing of transcripts.

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Students under the age of 18 must have their parent/guardian sign the following:

I,

, the parent/guardian of

agree to be responsible for payment


pursuant to the terms of this payment agreement.