Visiting and Non-Degree Student Application

New Students: Instructions: Southern welcomes students year-round to take courses part-time without being admitted to a degree or certificate program (i.e. as a non-matriculated student). Please complete the application below.

Returning Students: To reactivate your account, please contact the Registrar’s Office. Do not complete the application below.

High School Students: High school students must compete the Early College application. Do not complete the application below.

* = Required fields

Student Information

First Name

Chosen First Name

Middle Name

Last Name

Permanent Telephone

Cell Phone Number

Email Address

Confirm Email Address

Birthdate

Gender Marker

Female

Male

Are you a legal resident of Connecticut?

Yes

Permanent Address

Country

Street

City

Region

Postal Code

Primary Citizenship

Dual Citizenship

US Permanent Resident

Yes

Social Security Number - Numbers only, No Dashes

Supplemental Information

Ethnic Background: The following two questions are voluntary and for statistical purposes only. It has no bearing on your ability to register for classes at Southern Connecticut State University.

Are you Hispanic or Latino?

Yes

Ethnicity (Select all that apply)

Academic Information

What is your affiliation to Southern?

Highest level of completed education

Which semester are you applying for?

Have you attended/applied to Southern before?

Yes

Please provide your SCSU Student ID number (If you do not have your student ID number, call the Registrar's Office at 203-392-5301 for assistance)

Attachments

All applicants are required to upload a valid and unexpired government or school-issued photo ID:

Driver's license or state-issued non-driver ID; or
Federally-recognized identification such as a passport, permanent resident card, naturalization card, or certificate of citizenship.

Note: Military ID’s may not be accepted since 18 U.S. Code § 701 prohibits it from being photocopied

Upload Photo Identification

Agreement

By submitting this form, I agree to abide by the Southern Connecticut State University’s Acceptable Use Agreement, located on the SCSU Technology page. I understand that there are no expectations of privacy. I understand that any violation of this agreement may result in loss of access to computing privileges and may result in disciplinary actions that could affect my employment or student status.

I agree