UMass Boston: Online Non-Degree Student Registration form

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Registrar's Office
Campus Center, 04, 04100
617-287-6200

registrar@umb.edu

8:30 a.m. to 5 p.m., Monday through Thursday; 10 a.m. to 4 p.m., Friday

Online Non-Degree Student Registration form

Registration as a non-degree student does not imply acceptance to the University as a matriculated student. Application for admission to a degree program must be made through the Admissions Office. International students on student visas cannot attend the University as a non-degree, full-time student.

Semester:
First Name:
Middle Initial:
Last Name:
Address1:
Address2:
City:
State:
Zip:
Phone:
Email:	(E-mail)
Citizenship:
Visa type:
Gender:	Male Female
Date of Birth:
Veteran status:	Check for "Yes"
Are you a State Employee?:	Check for "Yes"
Have you Attended Umass before:	Check for "Yes"
Degree:
Ethnicity:	American Indian / Alaskan Native Black (non-Hispanic origin) Asian / Pacific Islander Hispanic White (non-Hispanic origin) Cape Verdean Other I do not wish to disclose
Massachussetts Residency This should be filled out by those applicants who are residents of Massachusetts defined by the rules and regulations.I have read the rules and regulations governing the residency status of students for tuition purposes at the University of Massachusetts and I herby state that pursuant to these rules and regulations, I qualify as a resident ofMassachusetts for the following reasons (please check one).
I am 18 yrs of age or more, am a US citizen or green card holder, and have resided in Massachusetts since:	Check for "Yes" Select Date
I am under 18, and my parent or legal guardian has resided in Massachusetts since:	Check for "Yes" Select Date
I am married, and my spouse has resided in Massachusetts since :	Check for "Yes" Select Date
I do not qualify as a resident of Massachusetts :	Check for "Yes"

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CEEB Code:3924
Title IV School Code: 002222

100 Morrissey Blvd.
Boston, MA 02125-3393
617-287-5000
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This page of the University of Massachusetts Boston
was last modified: Friday, January 25, 2008
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Online Non-Degree Student Registration form

Massachussetts Residency