Visiting Non-Degree Student Application

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.

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

* = Required fields

Student Information

First Name

Chosen First Name (if different than above)

Middle Name

Last Name

Suffix

Permanent Telephone

Cell Phone Number

Email Address

Confirm Email Address

Birthdate

Gender Marker

Female

Male

Are you a legal resident of Connecticut?

Yes

How long have you lived in Connecticut?

greater than or equal to one (1) year

less than one (1) year

Permanent Address

Country

Street

City

Region

Postal Code

Primary Citizenship

Dual Citizenship

US Permanent Resident

Yes

Do any of these statuses apply to you: DACA, Undocumented, Deferred Enforced Departure, Temporary Protected Status, U.S. Refugee, or Asylee?

Yes

If you believe you may qualify for in-state tuition you may apply for residency reclassification.

Social Security Number - Enter Numbers only, No Dashes

Entering a false number will significantly delay the processing of your application.

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

Regardless of your answer to the prior question, please check one or more of the following groups in which you consider yourself to be a member:

Academic Information

What is your affiliation to Southern?

Have you completed a bachelor’s degree or higher?

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 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