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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.                               SCOPE

1                                                                                                  2

3

     City                                                                                          State                              Zip+4

                                                                                                              6
     (           )                                           (       )
7

     City                                                                                          State                              Zip+4


9                                                                                    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 this
10 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 Received




Read 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.

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Graduate PTG Form

  • 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. SCOPE 1 2 3 City State Zip+4 6 ( ) ( ) 7 City State Zip+4 9 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 this 10 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 Received Read 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.