Non-Matriculated Student Registration Demographic Form

Non-Matriculated Student Registration

Non-Matriculated Registration is now closed for the Spring 2023 semester. Registration will open on May 1. 2023

Directions:

Complete this form to create a student account
Activate your student account as directed on the next page. If the temporary PIN indicates (password already established) you should use the password you chose when applying for a program or reset your password.
You will be directed to a page where you answer a few more questions about this semester, select your courses, and pay.
You will recieve a confirmation email with next staps to access your course. It will take 3-5 days for your registration to process.

Personal Information:

Email Address

First Name

Middle Name

Last Name

Birthdate

Mailing Address

Country

Street

City

Region

Postal Code

Phone Number

Mobile Phone Number

Have you enrolled in courses at the University of Rochester before?

Yes

Sex

Female

Male

Preferred Pronouns (Optional)

He/Him

Not Listed

She/Her

They/Them

Please indicate your primary citizenship:

Social Security Number

Are you Hispanic or Latino?

Yes

What is the Highest degree you have completed?

High School Diploma/GED

Associate Degree/Diploma

Bachelor's Degree

Master's Degree, or higher

Is your degree in Nursing?

Yes

Please select your highest degree in Nursing:

Diploma in Nursing

Associate's degree in Nursing

Bachelor's degree in Nursing

Master's degree in Nursing, or higher

Do you have an RN License?

Yes

Emergency Contact Information:

Emergency Contact Name:
Please provide the legal name of your emergency contact, First (Given) and Last (Family).

Emergency Contact Relationship:

Emergency Contact Phone:Number

Non-Matriculated Program Application:

Choose between Online Prerequisite Courses or Other Non-Matriculated Courses: