Non-Degree Application for Admissions

NON-DEGREE APPLICATION FOR ADMISSION

University of the Potomac 1401 H. Street, NW Washington, DC 20005.
Incomplete applications will not be processed.
ADMIT STATUS*

Non-Degree
START TERM*
LEGAL NAME:*

First NameMiddle NameLast Name
FORMER/OTHER NAMES USED:

First NameLast Name
CURRENT MAILING ADDRESS:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Same Address?
PERMANENT HOME ADDRESS:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
CELL PHONE*
Please enter a valid phone number.
HOME PHONE
Please enter a valid phone number.
EMAIL*
example@example.com
Birth Date:*

MonthDayYear
Date
SOCIAL SECURITY NUMBER*
GENDER:*
ETHNICITY*
RACE (check all that apply)*

American Indian/Alaska NativeAsianBlack/African AmericanNative Hawaiian/Other Pacific IslanderWhite
ARE YOU A U.S. CITIZEN?*

YESNO
ALIEN REGISTRATION NUMBER: (With Verification)*
ADMISSION OFFICER*
admission officer email
Joyce email
Akeem email

CURRENTLY A HIGH SCHOOL STUDENT?*

YESNO
HIGH SCHOOL GRADUATION DATE:*

MonthDayYear
Date
NAME OF HIGH SCHOOL:*
GED COMPLETION DATE:

MonthDayYear
Date
DO YOU HAVE A BACHELOR’S DEGREE OR HIGHER?*

YESNO
EMERGENCY CONTACT:*
EMERGENCY CONTACT:*
Please enter a valid phone number.
NON-DEGREE SEEKING STUDENTS: Students without a high school diploma or GED must receive permission from the Assistant Director of Admission/Director of Admission/ Dean of Academics to register for credit-bearing classes. You are limited to 12 credits per semester and may take up to 30 cumulative credits as a non-degree seeking student. After taking 30 cumulative credits at UOTP, you must apply and be admitted as a degree-seeking student. Transfer transcripts are only evaluated for degree-seeking students.
In signing this form, I acknowledge that failure to disclose and submit accurate information may result in denial of admission or dismissal from the institution. I certify that all information provided is complete and true. By signing this application, I certify that I am in compliance with the Federal Military Selective Service Act, 50 U.S.C. sec. 453, or that I am exempt from the same.

Clear
University of the Potomac does not discriminate on the basis of race, color, religion, age, sex, national origin, disability, gender identity, protected veteran status, or sexual orientation. This policy applies to all programs, services, and facilities, including applications, admissions, and employment.
Date*

MonthDayYear
Date
Should be Empty:

NON-DEGREE APPLICATION FOR ADMISSION