CLARION UNIVERSITY OF PA

Fall/Spring Quick Admit Form

For Undergraduate Students Only
 

A Quick Admit form must be completed in advance of each semester for which you plan to enroll.  The quick admit policy limits undergraduate students to a total of 12 credits. If a student wishes to continue coursework beyond 12 credit hours, he or she must seek admission to the University through the Admissions Office. Graduate students may not use this Quick Admit form.  For admission information contact the Office of Graduate Programs at 814- 393-2337 or go to http://www.clarion.edu/16475.

This is a non-degree program and as a result, students are not eligible to receive financial aid.  If you are interested in pursuing an associate's or bachelor's degree program at Clarion University, please complete the regular admissions process at www.clarion.edu/apply.  Students seeking a degree may receive financial aid.

 

Please complete the top portion of the form completely.  Use N/A for items that do not apply.   Items with an * are required entries.

 

Last Name*:       First Name*     Middle Initial:   

 

Former Names: 

 

Street Address*:      City*:    

 

State*             Zip*          Email Address: 

 

Birthdate*   (MM/DD/YYYY)       Sex*:          Race:   

 

Daytime Phone Number:          Home Phone Number*:     

 

PA Resident*:                           If yes, name of county:   

 

Status*:           Freshman  Transfer  Transient/Guest            Campus Choice* Clarion  Venango  Online           Pittsburgh 

High School Attended*      Dates Attended*  (MM/YYYY - (MM/YYYY)

High School City and State*  

GED received *:                   If GED earned, date GED was received:  (MM/DD/YYYY)

Have you attended Clarion University previously? *       If so, what year?   

 

If your are a transfer or transient/guest student please list the following;

 

Full Name of College Name (no abbreviations please):       

 

Degree/QPA:      Current College Attendance Dates: 

 

Registration:  The Registrar's Office will register you for the courses indicated above based on availabililty.  The email address specified on this form will be used to
confirm your registration.  You will be held responsible for tuition and fees incurred by your enrollment.  If you decide not to take courses, please notify the Registrar's Office
before the first day of the semester.

Undergraduate students requesting more than 5 credits for the three-week session or more than 7 credits per five-week session, must have a 3.0 cumulative GPA and
prior approval from college dean.  A maximum of one course can be taken in winter intersession.


Term for which you are applying*  Fall Year*:          
  (Check as many as applicable.) Spring Number of credits  you wish to attempt this semester*:  

Class Registration Information

Please list the course/s you want to schedule (one course per box)  Include the Subject-Catalog Nbr-Section-Class Nbr-Credits-Meeting Times 

For example:
Art 121-01-2005-Foundation Drawing - 3 Credit Hours - MW - 9:00AM-11:30AM

Course 1*: 

Course 2:  

Course 3:  

Course 4:  

How did you hear about Quick Admit?

By clicking the submit button, you are verifying that the information provided is accurate.