Harrisburg University's Non-Degree Application

Demographic Information

*First Name

Middle Name

*Last Name

Preferred Name (if different than first name)

*Birthdate

*Sex

Female

Male

*Race (select all that apply)

*Are you Hispanic or Latino?

Yes, Hispanic or Latino

No, not Hispanic or Latino

*Citizenship

*Social Security Number (No Dashes)

*Are you a United States permanent resident alien or political asylum recipient?

Yes

No

*What is your visa status?

Contact Information

*Email Address

*Confirm email address (please note that matching is case sensitive)

*Mailing Address

Country

Street

City

Region

Postal Code

*Primary Phone

*Mobile Phone

*Would you like to receive periodic text messages from Harrisburg University and your admissions counselor regarding your application?

Enrollment Plan

*What class(es) are you interested in?
If you are unsure, please visit our Course Description page for some options.

*Please describe why you are requesting to take this class:

*Entry Year

*Entry Term

Campus (HIDDEN)

Education History

*Most Recent High School or College/University

CEEB (HIDDEN)

*Level of Study

Please note that official transcripts are required to register for classes. Please reach out to your prior institution to have them sent directly to Harrisburg University at transcripts@harrisburgu.edu.

Unofficial High School Transcript

Unofficial College/University Transcript

Additional Information

How did you learn about Harrisburg University?

*Have you ever been on academic/social probation at any other college?

Yes

No

*If so, please describe the circumstances around your probation:

*Have you ever been convicted of a felony?

Yes

No

*What is your primary spoken language?

*How long have you studied English?

Data Privacy Notice & Acknowledgements

*Please click "Yes" if you are transmitting data from a member state of the European Union, Iceland, Lichtenstein, Norway, or Switzerland. If not, please select "No."

*By initialing this box, you acknowledge receiving Harrisburg University's EU Data Privacy Policy

*By initialing this box, you acknowledge receiving Harrisburg University's Financial Disclosure Agreement.

*By submitting the following application, you agree that:

All information provided in your application and registration is true and complete to the best of your knowledge.
You understand that, if you are accepted, the discover of any false information provided may be grounds for recission of admission and registration and/or dismissal.
You recognize it is your responsibility to request all official transcripts in a timely manner, if required by your program, to facilitate your application.
You understand that Harrisburg University is a laptop community, and you will take appropriate measures to obtain a laptop as required by your program.

I acknowledge the above points and agree to them.

Generate Pin (HIDDEN)

Yes

No

Round (HIDDEN)

Round Always Create (HIDDEN)

Submitted Flag (HIDDEN)

Yes

No

Division (HIDDEN)

Enrollment Status (HIDDEN)

Degree Concentration (HIDDEN)

Degree Program (HIDDEN)

Candidate Type (HIDDEN)

Degree Type (HIDDEN)