Global Learning and Partnerships at Rowan University
Activation & Registration Form for Visiting (Non-Matriculated) Graduate Students
PART I: Activation (or Reactivation) Request
Student Biographical Information
Rowan ID
if applicable
SSN
optional
Date of Birth
Email Address
This and your Rowan email will be used to communicate with you during the activation & registration process.
Legal Name
Family Name/Last Name
First Name
Middle Name
Other names that may appear on your academic records
Mailing/Permanent Address
Number and Street
City
State
Zip Code
County
State/Country of Legal Residence
Month/Year you began living in the state
Preferred Phone
Cell Phone
Work Phone
Citizenship, Ethnicity and Gender
The questions in this section are optional. No information you provide will be used in a discriminatory manner.
Male
Female
Choose not to report
US Citizen
Permanent Resident (also called Resident Alien) - Indicate Resident Alient ID#
Non-U.S. Citizen - Indicate country of citizenship
What is your ethnicity?
Hispanic or Latino
Not Hispanic or Latino
If Hispanic or Latino, please choose one of the following?
Central or South American
Cuban
Hispanic Other
Mexican
Puerto Rican
Regardless of your responses above, please choose one or more race categories from the list below
American Indian or Alaskan Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Do you plan to apply or did you apply to a graduate program at Rowan University?
Yes
No
If yes, what program?
Permission to Activate and/or Register:
● I understand that once registered for this course(s), costs will be generated and assigned to my account. It is my responsibility to pay for all charges in full by the payment deadline or immediately after registration has been performed if that date is after the payment deadline for the term in question. (Visit
www.rowan.edu/bursar
for further details regarding payment.)
● I understand that any changes to my registration (including drops) must happen within the drop/add period for the course; otherwise, I will be responsible for all the charges incurred.
● I understand that, per Rowan University policy, failure to attend does not constitute a drop or withdrawal and only a drop within the proper deadlines will provide a refund of charges.(Visit
http://www.rowan.edu/provost/registrar/courseschedule.html
for deadlines.)
● I understand that non-matriculated students are not eligible for financial aid.
● I understand that I must be a graduate non-matriculated student in order to take graduate-level coursework.
● I understand that as a non-matriculated graduate student I can take no more than 9 credits (depending upon program) of graduate coursework (no more than 8.5 credits per semester).
● I understand that registering for a course as a non-matriculated student does not guarantee admission to an academic program.
I certify that all information supplied above is factually true and honestly presented to the best of my knowledge.
Check this box as verification of your electronic signature and your permission to proceed with this request.
Questions prior to submission of this form?
Contact Global Learning and Partnerships at Rowan University at
globalstudent@rowan.edu
Contact
support@rowan.edu
with questions, comments, or issues.
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