Non-Matriculated Course Registration Form

Please select the level of non-matriculated coursework you wish to take

Undergraduate

Undergraduate-level prerequisite(s) for a Le Moyne graduate program

Graduate

Students may take up to 18 credits of undergraduate coursework as a non-matriculated student. After 18 credits, the student must apply for a matriculated program in order to continue enrollment at Le Moyne College.

Students may take up to 6 credits of graduate coursework as a non-matriculated student. After 6 credits, the student must apply for a matriculated program in order to continue enrollment at Le Moyne College.

Do you intend to enroll/audit on a full-time or part-time basis?

	Full-time	Part-time
Undergraduate	12-18 credits	less than 12 credits
Graduate	9+ credits	less than 9 credits

What is your preferred registration term?

Have you taken non-matriculated courses at Le Moyne previously for credit (excluding audited courses)?

Yes

No

How many credits?

Calculated remaining undergraduate credits available for non-matriculated course registration (excluding audited courses)

Calculated remaining graduate credits available for non-matriculated course registration (excluding audited courses)

Your Information

First Name

Last Name

Preferred First Name

Birthdate

Email

Mobile Phone

I give Le Moyne College permission to send me important updates via text messaging. (Standard fees apply.)

Mailing Address

Country

Street

City

Region

Postal Code

Is your mailing address the same as your permanent address?

Yes

No

Permanent Address

Country

Street

City

Region

Postal Code

Background

Gender

If you would like the opportunity, we invite you to share more about your gender identity

Are you Hispanic or Latino?

Yes

No

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

Citizenship

Citizenship (U.S. Permanent Residents please select your country of birth)

Dual Citizenship (if applicable)

Residency Status

U.S. Permanent Resident

Do you currently hold a U.S. Visa?

Yes

No

What type of visa?

Social Security Number (SSN)
Required for registration.

Photo identification is required for registration. Acceptable types of photo identification include a passport, driver's license, or a state ID card for non-drivers.

Employee Benefits and Military Status

U.S. Armed Forces status

Are you eligible for military educational benefits?

Yes

No

Are you eligible for employee benefits? *

Yes

No

Name of Employer

School Information

Have you earned or will you earn a high school diploma or the equivalent?

Yes

No

Are you currently or have you previously attended a college or university?

Yes

No

Please list all colleges or universities you have attended (currently and/or previously):

Please select the highest degree you have earned or in-progress of (if any)

Please search for the institution at which you have earned or will earn this degree

Le Moyne College Coursework

After completing your non-matriculated coursework, do you intend to apply for a degree program at Le Moyne College?

Yes, an undergraduate degree program

Yes, a graduate degree program

No

Undergraduate program of interest

Graduate program of interest

Class availability can be found on the Registrar Office's webpage.

How many classes do you wish to register for?

Course 1

Subject

Course Number

Section Number

Course Title

Are you auditing this course?

Yes

No

Click here, then select your term of interest for more information on the course schedule and costs.

Is there a corresponding lab that you would like to register for?

Yes

No

Lab 1

Lab Subject

Lab Number

Lab Section Number

Lab Course Title

Course 2

Subject

Course Number

Section Number

Course Title

Are you auditing this course?

Yes

No

Click here, then select your term of interest for more information on the course schedule and costs.

Is there a corresponding lab that you would like to register for?

Yes

No

Lab 2

Lab Subject

Lab Number

Lab Section Number

Lab Course Title

Course 3

Subject

Course Number

Section Number

Course Title

Are you auditing this course?

Yes

No

Click here, then select your term of interest for more information on the course schedule and costs.

Is there a corresponding lab that you would like to register for?

Yes

No

Lab 3

Lab Subject

Lab Number

Lab Section Number

Lab Course Title

Course 4

Subject

Course Number

Section Number

Course Title

Are you auditing this course?

Yes

No

Click here, then select your term of interest for more information on the course schedule and costs.

Is there a corresponding lab that you would like to register for?

Yes

No

Lab 4

Lab Subject

Lab Number

Lab Section Number

Lab Course Title

Course 5

Subject

Course Number

Section Number

Course Title

Are you auditing this course?

Yes

No

Click here, then select your term of interest for more information on the course schedule and costs.

Is there a corresponding lab that you would like to register for?

Yes

No

Lab 5

Lab Subject

Lab Number

Lab Section Number

Lab Course Title

Course 6

Subject

Course Number

Section Number

Course Title

Are you auditing this course?

Yes

No

Click here, then select your term of interest for more information on the course schedule and costs.

Is there a corresponding lab that you would like to register for?

Yes

No

Lab 6

Lab Subject

Lab Number

Lab Section Number

Lab Course Title

Billing Agreement & Signature

I, the undersigned understand and agree that by signing below, I am confirming my intent to register for the course above and this constitutes the act of registration at Le Moyne College. By signing below, I hereby promise to pay the current semesters billed amount to Le Moyne College by the dates set forth on the forthcoming billing statement, which can be accessed through phinfo.lemoyne.edu. I understand that if I do not pay this amount when due, Le Moyne College has the right to assess on my unpaid balance late fees of up to $100.00 and a finance charge of 1.0% a month (12% APR), and I promise to pay those charges upon assessment. In addition, Le Moyne College has the right to charge any subsequent collection fees and attorney’s fees Le Moyne College incurs in the collection of my unpaid balance. *

I agree

Signature

Click SUBMIT below to submit your non-matriculated registration form to Le Moyne College.

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Non-Matriculated Course Registration Form

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