Application for Special Status Enrollment Part-Time Graduate Programs
The completion of this form is required for all non-matriculated students who wish to enroll in graduate level courses at Arcadia University.  When registering for your first course, this application must accompany the course registration form.  Note: You many only register for 9 credits as a Special Status Student. You must be matriculated into a program after 9 credits.

Please complete this form.

The Office of Graduate Studies will be in touch with you shortly with a decision.

Please contact Mary Kate McNulty at mcnultym@arcadia.edu or 215-572-2877 for any questions or concerns.
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Email *
First Name *
Middle Name *
Last Name *
Employment Address (including corporation, business, organization name) *
Email Address *
Day Phone *
Evening Phone *
I am interested in: *
Required
US Citizen *
If non-citizen, please list country. *
If non-citizen, please list type of VISA *
If non-citizen, please list VISA Expiration Date *
Please indicate the degree and concentration and/or certification area you are considering: See below potential options.
M.Ed:  Proposed Concentration: __________________   Proposed Certification: ____________________
Art Education, Computers and Technology in Education, Early Childhood Education, Educational Leadership, Elementary Education, Language Arts, Library Science, Mathematics Education, Principal, Reading, Science Ed, Special Education, Secondary Education: (Certification in Biology, Chemistry, General Science, English, Environmental Education, Mathematics, Social Studies), Superintendent’s Letter of Eligibility, Supervisory.

M.A.in Ed.:  Proposed Concentration: ________________  Proposed  Certification:__________________
Art, Biology, Chemistry, Computer Education, English, Environmental Education, Health Education, History, Humanities, Mathematics, Music, Psychology, Theatre Arts, Written Communication

Certificate of Advanced Study (post-master’s degree): Proposed Concentration______________________

Certification Only: Proposed Certification: ____________________________
Art Education, Early Childhood Education, Elementary Education, Environmental Education, ESL, Library Science, Reading, Principal, Special Education, Secondary Education: (Certification in Biology, Chemistry, General Science, English, Environmental Education, Mathematics, Social Studies, Superintendent’s Letter of Eligibility, Supervisory.

Master of Arts in Counseling (M.A.C):     ____Community  _____School      
Certificate of Advanced Graduate Study in Counseling  _________
Master of Arts in English  __________  
Master of Arts in Humanities ___________
Master of Arts in Health Education _________
Master of Science in Health Education _________    
Master of Science in Public Health____________
Certificate of Advanced Study (post-master’s degree): Proposed Concentration______________________

Please indicate the degree and concentration and/or certification area you are considering: *
ACADEMIC PREPARATION: Are you currently enrolled in an undergraduate program? *
If Yes, give your expected date of graduation, Year and Month
LIST BELOW ALL INSTITUTIONS YOU HAVE ATTENDED:
Name of Undergraduate Institution                                  Dates Attended                                               Degree
LIST BELOW ALL INSTITUTIONS YOU HAVE ATTENDED:
Name of Graduate Institution                                  Dates Attended                                               Degree
Have you taken courses at Arcadia University? *
If Yes, give date
Were they Graduate or Undergraduate level courses?
Clear selection
I CERTIFY THAT THE INFORMATION GIVEN BY ME ON THIS APPLICATION IS COMPLETE AND ACCURATE.
By Typing my Name below I certify that this information is complete and accurate.

Type Name for Certification *
Date *
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