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Graduate PTG Form

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  • 1. APPLICATION FOR NON-DEGREE STATUS (GRADUATE) OR you were admitted within the past two years and did not attend,no fee is required.Select the appropriate option: Application for Non-Degree Status Reactivation of Non-Degree Status taking classes to meet requirements for continuing certification. SCOPE1 23 City State Zip+4 6 ( ) ( )7 City State Zip+49 13 _____________________________________________________ If you are not a U.S. citizen, but have an I-551 Permanent Resident Card or asylum or refugee status, a copy of your card must be sent with this10 Gender Female application.11 __________________________________ ___________________________________12 _____________ ___________________________ Select one or more races from the following five racial groups. 15 Planning to enroll White If you did not receive a degree from WMU,proof of your degree must accompany this application.employer is acceptable as verification of the degree. Institution City State Degree/Diploma Date ReceivedRead the following information carefully. A signature is required to complete this application. I certify that the answers on this application are complete and accurate to the best of my knowledge. I also acknowledge by my signature that I understand: advisor and the Graduate College) for inclusion in a degree program to which I am later admitted.Signature ___________________________________________________________________________ Date ___________________________The information in items 10-12 is optional and is not considered when determining admissibility.