Non-Matriculated Registration Form

Thank you for your interest in Utica College.

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Non-Matriculated Registration

Registration Type

Select a different option

Are you a current Utica College student?

Yes

No

This form is not for current Utica College students.

Are you enrolling in courses as a current high school student?

Yes

No

Note: If you are interested in a bridge program, please complete the High School Bridge Program Application

Which high school?

Clinton High School

Holland Patent High School

Little Falls High School

New Hartford High School

New York Mills High School

Notre Dame High School

Oriskany High School

Proctor High School

Rome Free Academy

Utica Academy of Science

VVS High School

Waterville High School

Whitesboro High School

Are you in the Notre Dame Bridge Program?

Yes

No

Are you taking ABSN pre-requisites for Utica College's ABSN program or another College's ABSN program?

Yes

No

Prior to registering for classes, you must apply using the ABSN Application Form

Are you enrolling in the English for Healthcare program?

Yes

No

Are you enrolling in Undergraduate or Graduate courses?

Undergraduate

Graduate

This form is not currently available. Please check back later.

Biographical Information

First/Given Name

Middle Name

Last/Family Name

Suffix

Former Last Name

Gender

Male

Female

Birthdate

Month -- Jan (01) Feb (02) Mar (03) Apr (04) May (05) Jun (06) Jul (07) Aug (08) Sep (09) Oct (10) Nov (11) Dec (12) Day -- 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year -- 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921

Social Security Number

First 3 Digits of Social Security Number - Middle 2 Digits of Social Security Number - Last 4 Digits of Social Security Number

Providing your U.S. Social Security Number allows the Registrar's Office to process, track, and match your registration credentials correctly and quickly. Utica College is dedicated to ensuring the confidentiality of students' records.

Utica College ID Number

9 digit number, if available

Contact Information

Phone Number

Phone Number Type Cell Home Work

Email Address

Current Mailing Address

Street Address

Street Address Line 2 Street Address Line 3

Country

Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo,Democ Republic (Zaire) Cook Islands Costa Rica Cote D'Ivoire Croatia (Local Name: Hrvatska) Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France France Metropolitan French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard and Mc Donald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran, Islamic Republic of Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea Democratic People's Rep Korea Republic of Kosovo Kuwait Kyrgyzstan Lao People'S Democratic Republ Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macau Macedonia The Former Yugoslav Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Federated States of Moldova Republic of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestine, State of Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Helena Saint Kitts and Nevis Saint Lucia Saint Vincent and The Grenadin Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and S. Sand Is Spain Sri Lanka St. Pierre and Miquelon Sudan Suriname Svalbard and Jan Mayen Islands Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania United Republic of Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying I Uruguay Uzbekistan Vanuatu Venezuela Vietnam Virgin Islands (British) Virgin Islands (U.S.) Wallis and Futuna Western Sahara Yemen Yugoslavia Zambia Zimbabwe

Zip Code

City

State

-- Select -- Alabama Alaska American Samoa Arizona Arkansas Armed Forces - Americas Armed Forces - Europe Armed Forces - Pacific California Colorado Connecticut Delaware District of Columbia Federated States of Micronesia Florida Foreign Country Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming

Background

Is this your first UC registration?

Yes

No

Are you a U.S. citizen?

Yes

No

Permanent Resident

Course Information

Term

Fall 2021

Use the "Add Course" button below to search for and add courses to your registration form

Choose one course section below by checking the box next to it

CRN

Course

Section

Title

Credits

Tuition

Fee(s)

---

Add Course

There are no courses available for the selected term

Estimated Total

Disciplinary History

Have you ever been found responsible for a disciplinary violation at any educational institution you have attended from 9th grade (or the international equivalent) forward, whether related to academic misconduct or behavioral misconduct, that resulted in your probation, suspension, removal, dismissal, or expulsion from the institution?

Yes

No

Have you ever been convicted of a misdemeanor, felony, or other crime?

Yes

No

If you answered yes to either or both questions, please give the approximate date of each incident, explain the circumstances, and reflect on what you learned from the experience.

Financial

Estimated Amount Due

Add Courses First

Tuition Paid By

Self

Scholarship/Loan

Remitted Tuition

Other

Specify

Once you have been registered, please make your payment online.
Online Payment Instructions

Payment due within five (5) business days of registration. If payment is not received by the required due date, you may be dropped from your course(s).

By checking this box, I agree to be registered for this/these course(s) and am responsible for all charges. For it be necessary for Utica College to use a collection agency, which is subject to the Fair Dept Collection Practices Act, I agree to pay all collection costs and attorney's fees.