Course Registration Form for Non-Degree Students

Please complete this form to register for an undergraduate or graduate course, or courses, as a non-matriculated student (a student who is not pursuing a degree and is not currently in high school). A comprehensive course listing for upcoming terms may be found here.

If you have any questions about this form, or your registration, please connect by email or call the Registrar's Office at 802-728-1302.

If you are a high school student seeking to register for a course, please do not use this form. Please use our Course Registration Form for High School Students.

Before you begin! We understand you are planning to register for a course or courses. Are you interested in also staying informed about admissions events and how to apply? If seeking a degree is a possible goal in your future, we encourage you to answer 'yes' to stay informed.

Yes, please, I may be interested!

No, thank you.

Great! What level of study are you interested in?

Undergraduate Studies

Graduate Studies

I am registering for

Undergraduate course(s) as a non-matriculated student

Graduate course(s) as a non-matriculated student

Workforce Development course(s)

Career & Technical Teacher Education (for educators)

Other

Please describe your student type or status.

Term. Please select the term the course(s) you are registering for are taking place.

Fall

Spring

Summer

Term Year

Name

First (Given) Name

Name of Use (if different from First (Given) Name above)

Middle Initial

Last Name

Address Information

Email Address

Phone Number

Mailing Address

Country

Street

City

Region

Postal Code

Biographical Information

Student ID (Your Vermont State Colleges ID, if you have one and it is known to you.)

Social Security Number

Privacy Protection Policy

We are committed to protecting your privacy.

Upon receiving the secure transmission of your Social Security Number, it is immediately encrypted. Only the last 4 digits of your Social Security Number are available in plaintext for identification and account matching purposes. Your Social Security Number is available for decryption only by those officials who oversee automated loading of personal information into student information systems, and only for that limited purpose.

Our databases are actively monitored and are firewalled to ensure the protection of your personal information, and we employ all industry-standard safeguards.

Birthdate

Citizenship/Residency Information

Citizenship

Non-resident alien

Resident alien

Other Country

Citizenship Country

Are you a Vermont resident?

Yes

Please list your state of residency

Race/Ethnicity

Colleges and universities are asked by many groups, including the federal government, accrediting associations, college guides, and newspapers, to describe the ethnic/racial backgrounds of their students and employees. In order to respond to these requests, we ask you to answer the following two questions. View Definitions

Definitions

White: A person having origins in any of the original peoples of Europe, Middle East, or North Africa.

Black or African American: A person having origins in any of the black racial groups of Africa.

Hispanic or Latino: A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.

Asian: A person having origins in any of the original peoples of the Far East, Southest Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.

American Indian or Alaska Native: A person having origins in any of the original peoples of North and South America (including Central America), who maintains cultural identification though tribal affiliation or community attachment.

Native Hawaiian or Other Pacific Islander: A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.

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: (to select more than one hold down the ctrl key while selecting)

School Information

I have earned my

High school diploma

GED

High School Attended

High School State

High School Graduation or GED Completion Year

Level of study (hidden)

School Information

Have you earned a bachelors degree or higher?

Yes

College Attended

When did you or will you complete your degree?

Level of study (hidden)

Course Registration

If you require accommodations for a disability, please contact Vermont State University Disability Services at DisabilityServices@VermontState.edu.

Some courses may require approval. Do you have an approval to upload?

Upload Document Here:

Course #1

Course 1 Section & Number

Course 1 Title

Course 1 Campus Location/On-Line

Course 1 Credits

Course #2

Course 2 Section & Number

Course 2 Title

Course 2 Campus Location/On-Line

Course 2 Credits

Course #3

Course 3 Section & Number

Course 3 Title

Course 3 Campus Location/On-Line

Course 3 Credits

Statements of Understanding

A. The College reserves the right to make changes in course offerings, charges, regulations, and procedures as educational and financial considerations require.

Initial

B. I agree that if this account is not paid when due, I agree to pay all costs of collections including interest, attorney’s fees and collection agency fees, and other costs related to the collection of my account.

Initial

C. I understand that providing false information on this registration form could result in denial of admission to courses or, if already admitted, expulsion from the College.

Initial

D. In accordance with Vermont Statutes Annotated, Title 16, Statute 176, Section 1 (C): I understand that credits earned at the Vermont State Colleges are transferable only at the discretion of the receiving school.

Initial

Family Educational Rights and Privacy Act

The Family Educational and Privacy Act (FERPA) is a federal law designed to protect the privacy of student educational records. The law gives eligible students, those who have reached the age of 18, or the parents of students under the age of 18, certain rights with respect to their education records. Students have the right to inspect and review all of their educational records maintained by the college. If parents/guardians claim a student as a dependent, they may have access to the student’s educational records without prior written consent. Students have the right to request that the college correct academic records believed to be inaccurate or misleading. If the college decides not to amend the record, the student then has the right to a formal hearing. After the hearing, if the college still decides not to amend the record, the eligible student has the right to place a statement with the record commenting on the contested information in the record.

Generally, the college must have written permission prior to releasing any academic information from a student’s record. However, the law allows the college to disclose records without consent, to the following parties:

• College employees who have a need to know;
• Other schools to which the student is applying;
• Certain government officials in order to carry out lawful functions;
• Appropriate parties in connection with financial aid to a student;
• Parents of dependent eligible students;
• Organizations conducting studies for the college;
• Accrediting organizations;
• Individuals who have obtained court orders or subpoenas;
• Persons who need to know in cases of health and safety emergencies; and state and local authorities, within the justice system, pursuant to specific state law.

Students have the option of completing an online form in Web Services that provides parents or others with access to their academic records and an access code for them to provide when seeking information either in-person or on the phone. This access does not include transcript requests, grade reports or enrollment verifications; these must be individually requested by the student.

Directory Information

The college may also disclose, without consent, “directory type information” that is considered not to be harmful to student/parent if released. The information considered by the college to be directory information is name, home and college address, telephone listing, email address, date of birth, major, enrollment status (full-time or part-time), enrollment level (undergraduate or graduate), dates of attendance, degrees and awards received, weight and height of athletic team members, photographs, most recent and previous educational institutions attended, and participation in officially recognized activities and sports. Parent information is not directory information.

Students have the right to withhold the release of any or all directory information, to do so a written request must be made at the Office of the Registrar.

For additional information or to file a complaint, you may contact the Family Policy Compliance Office at (202) 260-3887 or om@ed.gov or US Department of Education, 400 Maryland Ave, SW, Washington, DC 20202-4605. Revised: 3/1

Acknowledgements & Signature

I understand as a non-degree student I am not eligible for Title IV Federal Financial Aid. (In order to be considered for Title IV federal aid, students need to be enrolled at least half time or 6 credits and matriculated into a degree program.)

I certify that I have read and acknowledge the statements on form and that all information provided by me is correct.

Yes

Signature

Date