Non Matriculating Enrollment Request Form

First Name*

Last Name*

Middle Name

Mailing Address*

Country

Street

City

Region

Postal Code

Date of Birth*

Gender

Female

Male

Other

Prefer not to say

Mobile Phone Number*

Home Phone Number

Personal Email Address*

Work

Are you part of a corporation/government agency that Stevens has educational partnership with?

Yes

You have indicated that you are interested in attending Stevens as part of a sponsored program with your company, government agency, educational institution, or other professional organization. To be eligible for this sponsored program, you will have been provided a sponsored program code for your institution. Please select it from the drop down list below.

If you do not see your sponsored program code, do not have a code, or are not sure if your organization has a sponsored program with Stevens, please e-mail the Office of Continuing & Professional Education to assist.

Sponsor Code*

Employer

Employer Address

Country

Street

City

Region

Postal Code

Work Phone #

Work Email Address*

Work Email Address

Citizenship

Citizenship/Residency/Visa Status*

US Citizen

Permanent Resident

Other

Specify Country of Citizenship*

Visa Type*

Enrollment

Semester Enrollment*

Academics

Please Indicate Area of Academic Interest*

Enrollment Checklist:

Refer to the Academic Catalog for a full list of courses and their titles.
Use the Listing of Course Sections to see what is available for your term of interest. Students sometimes choose a course or section that is not open for that term, which will prolong the registration process. *Keep in mind that any course designated with a WS, W0, W1, or W2 section is a StevensOnline course that can be done completely online. Every other section such as A, B, or C is held traditionally on-campus.
Fill out the course number, section, and title below. The examples for each are included to assist as a guide. *Only two courses can be taken as a non-matriculated student each term. You are only allowed to take up to three courses total as a non-matriculated student before needing to officially apply to a program. This rule may not apply to international students who are already admitted into a program.

Course and Number #1 (Examples: MGT609, SYS625)*

Section #1 (Examples: A, B, WS, W1)*

Course Title #1*

Course and Number #2 (Examples: MGMT609, SYS625)

Section #2 (Examples: A, B, WS, W1)

Course Title #2

Course #3 (Examples: MGMT609, SYS625)

Section #3 (Examples: A, B, WS, W1)

Course Title #3

Undergraduate Institution*

Undergraduate Degree Conferment Date*

Additional Materials

Resume (Optional)

LinkedIn ID (optional)

CHECK BEFORE SIGNATURE*

I am enrolling in the above course(s) as a non-matriculated student. I understand that I may take up to three courses in this manner. I also understand that credit earned for these courses may apply towards a certificate or graduate degree program. If I choose to apply to a graduate certificate or graduate degree program, I must submit the graduate application along with all required material in support of this application.

I understand the review of the non-matriculating request form can take up to 5 business days to process. I will be sure to submit my request at least 5 days prior to the start of the first day of my requested course(s).

Tuition and Fees for reference: https://www.stevens.edu/page-chapter/tuition-and-fees

I understand that if the academic department approves this request, I will then be enrolled in my requested course(s) and will be responsible for the appropriate tuition and fees as well as dropping the course(s) if needed before the add/drop date for the selected term.

I understand that I cannot receive Federal & State Financial Aid as a non-matriculating student and must be admitted at Stevens Institute of Technology as a degree-seeking student as listed on this website: https://www.stevens.edu/admission-aid/tuition-financial-aid/aid-eligibility. However, I am separately and on my own welcome to look into private education loans as some private lenders allow students to be non-matriculated students.

In place of your signature, please type your full legal name*

Date

GRADUATE STUDY

GRADUATE STUDY

Graduate Admissions

Non Matriculating Enrollment Request Form