CLARION UNIVERSITY OF PA

Winter Intersession Quick Admit Form
 

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 should contact the Division of Graduate Studies
at 814- 393-2337.

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*  

                                                                                             This email address will be used to confirm your registration.

 

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 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 below based on course availability. The e-mail address
specified on the 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. 

A maximum of one course may be taken in winter intersession.


Please include an ALTERNATE course in the event that your first choice is not available.

 

Course ID (Ex. ENG110:01) *:  
Course Title *:  
Credits(s) *:  
Alternative Course ID

How did you hear about Winter Intersession?

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