NJIT | New Jersey's Science & Technology University CPE | Continuing Professional Education  

CPE Application for Academic Programs (certificates, degrees and courses)


Who needs to complete this Application Form?


A. FOR ACADEMIC PROGRAMS (CREDIT):

This form is to be used by first-time students seeking non-matriculated admittance into one of NJIT's Undergraduate/Graduate Certificate, Extension and Distance Learning programs. Admission as a non-degree student IS NOT a guarantee of subsequent admission into a degree program. Applicants previously denied admission to a degree program at NJIT are not eligible for non-degree student admission. This application must be submitted before the first day of class in the semester that you are applying for.


Part I: Personal Data

Name

Last:
First:
Middle:
Social Security Number: - -
Birthdate: / / ( mm/dd/yyyy )

    Optional Information

    The following questions are optional. Responding to this item has no bearing on your admission. Information provided will remain confidential.

      Gender: Male Female
    To help us accurately report the race/ethnicity of our applicants, please indicate how you would describe yourself:

      Ethnic Origin:

    If Other select Please specify:

Contact Information:

Street: APT:
City/State/Zip Code: ,

Country:

State of Residency:
County: (New Jersey Only)
Citizenship:
Visa Status: (if applicable)
Home Phone:
Business Phone:
FAX Phone:
E-mail: (required)

Part II: Applicant Status

    Application is for study at the level of:
    Please indicate when you plan to enroll:

CPE Program (Indicate only one)

Undergraduate Certificate, if you are applying to a Certificate Program. After credential completion and using a seperate admissions application, these credits can count toward a degree.
Title:
Not Listed? Please provide:
Graduate Certificate, if you are applying to a Certificate Program. After credential completion and using a seperate admissions application, these credits can count toward a degree.
Title:
Not Listed? Please provide:

Mode of Study (Indicate only one)

Extension Program, if you plan to attend classes primarily at a location other than the NJIT Newark campus. (Choosing this option does not prevent you taking classes online.)
Site :
Not Listed? Please provide:
Distance Learning, if you plan primarily to study online to earn an NJIT degree or to study individual course(s). (Choosing this option does not prevent you from taking a class on the NJIT main campus (Newark), or at NJIT extension sites.)


Newark Campus: Check this box if your primary location of study is Newark

    Check all appropriate boxes:

    I have applied for and been accepted in an NJIT Bachelor's or Master's Degree program.
    I am a first-time student.
    I attended last semester.
    I am returning after a semester or more absence.
    This is the Semester in which I plan to complete my degree or certificate.


Partnerships

Check all appropriate boxes:

I am a CommUniversity Student
Other.

Your Company Information

Name:
Street:
City/State/Zip ,
Country:
Type of Business:
Your Occupation:


Part III: Educational Data (Only for Academic Credit Bearing Programs)

    Highest Education Level:

    I will furnish a copy of my unofficial transcript of the highest degree I have earned.
    The transcript

    Name of College awarding highest degree:

    Undergraduate Major:

        Cum:   Year:

    Graduate Major:

        Year Awarded:
      If not completed, Number of credits taken:

    Are you interested in pursuing an NJIT M.S. Degree after Certificate award?
      Yes, No or Undecided

Part IV: Course Selection (Only for Academic Credit Bearing Programs)

For the current offerings, Please select from the following:

Note: The first line is an example for CS 601, section 502, in the classroom

Subject Course # Section Course Venue
CS 601 502 Classroom

I want to take my course(s) as an audit student:

If a withdrawal results in a tuition refund, please see the Refund Policy for more information.

You will receive an invoice from NJIT for all tuition and fee charges except, if applicable, for tape leasing. Remittance for tape leasing fee is made directly to a tape duplication service.


Part V: Submitting the Application

By submitting this application, I acknowledge that if I have omitted pertinent information, or have submitted inaccurate or false information, NJIT has the right to refuse or rescind admission.
Initials of Applicant:
Date: / / ( mm/dd/yyyy )
Promotion Code:

Please or

Questions regarding the status of your application may be addressed to:

NJIT Division of Continuing Professional Education
University Heights
Newark, New Jersey 07102-1982

Telephone: 973-596-3060 or 1-800-624-9850
FAX: 973-596-3203 or 3288
E-mail: CPE@njit.edu