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Guest Student Application Form

For students wanting to take classes but who are not seeking a degree at Anderson University.

*I wish to attend Anderson University as a guest student during the following semester / year:

Spring Semester Summer Semester Fall Semester
2010 2011 2012

*First Name:
Middle Name:
*Last Name:
*Date of Birth:
*Permanent Address:
*City:Permanent Phone:
*State:*Cell Phone:
*Zip:*E-mail:

*Ethnicity

(The ethnic information is requested to fulfill reporting obligations to the Federal Government.)
White Black or African American Hispanic (any race)
Asian American Indian or Alaska Native Native Hawaiian or other Pacific Islander
Two or more races Nonresident Alien Unknown Prefer not to report

*Have you ever been dismissed, suspended or placed on probation for poor scholarship or disciplinary reasons at Anderson University or any other college? Yes. No.
(If yes, please give details in a letter accompanying this application.)
*Have you ever been convicted for commission of a felony? Yes. No.
(If yes, please give details in a letter accompanying this application.)

Since you are already enrolled at another college or university and wish to study at Anderson University as a guest student, you will be excused from making formal application. It must be understood that if work is continued at a later time toward a degree, it will be necessary to satisfy regular admission requirements. It is your responsibility to determine if the classes taken will fulfill requirements for transfer by contacting the Registrar of that institution. Since guest students are not degree-seeking, you do not qualify for any state, federal, or institutional financial aid. Payment in full must be received at the time of registration. Enrollment is subject to course availability.

Class Information

*Name and city/state of college in which currently enrolled:
*My class standing: Freshman Sophomore Junior Senior

Anderson University AccessAU Course Listings

I wish to take these courses as per Class Schedule. (You must go to Anderson University's Academic Advising office to register for these classes once accepted as a guest student. Payment in full must be received prior to registration for classes. Registration is subject to availability.)

*Dates*Department*Course No.*Course Title*Sem. Hrs. Credit

Please read the following statement thoroughly before submitting...

The mission of Anderson University is to educate persons for a life of faith and service in the church and society.

Established and sustained within the free and open traditions of the Church of God, this university is committed to be a teaching-learning community of the highest order, engaged in the pursuit of truth from a Christian faith perspective.

We will build those quality programs that will enable each member of the university to become stronger in body, mind and spirit, to experience what it means to love God and neighbor, and to adopt Christ-like servant ways in all of life.

We expect that you will take your portion of the educational responsibility seriously. We prize students who strive for and maintain high moral and ethical standards and who can contribute to the quality of life in our campus community.

As a part of our commitment to a distinctive lifestyle and experience, the university prohibits possession and use of alcoholic beverages, illegal drugs, gambling, sexual misconduct, foul language, cheating, theft and conduct inconsistent with the goals and traditions of the institution. The use of tobacco, in any form, is not permitted on campus.

I understand that, if admitted as a "Guest Student" at Anderson University, I will honor all university academic and student conduct policies and regulations.

*Denotes a required field.

Submitting this form is equivalent to a signature.


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