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*:     Select M F       Race:    Select White, Non-hispanic Asian or Pacific Islander Black, Non-Hispanic Hispanic American Indian/Alaska Native Prefer not to answer

Daytime Phone Number:          Home Phone Number*:     

PA Resident*:                    Select Yes No         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 *:      Select Yes No               If GED earned, date GED was received:  (MM/DD/YYYY)

Have you attended Clarion University previously? *     Select No Yes    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: 

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 

Course 1*:                

Course 2:  

Course 3:  

Course 4:  

Your class registration will be confirmed via email using the email specified on the form.

How did you hear about Quick Admit? Please Select Clarion Website Email Direct Mail Telephone Friend, relative, or colleague Newspaper Search Engine (e.g. Google) Professional Organization Affiliation Other

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