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.
Name Last: First: Middle: Social Security Number: - - Birthdate: / / ( mm/dd/yyyy )
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)
Contact Information:
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: Select Undergraduate Certificate Emergency Management and Business Continuity Information Systems Management Physical and Digital Counter-Terrorism The Science of Brownfields Implementation 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: Select Graduate Certificate Applied Statistical Methods Construction Management Critical Infrastructure Lifecycle and Security Management Data Mining Emergency Management Emergency Management and Business Continuity Emergency Management and Information Assurance Enterprise Systems Architecture Information Management for Managers Information Systems Implementation Information Systems Management Management Essentials Management of Technology Network Security and Information Assurance Pharmaceutical Management Pharmaceutical Manufacturing Pharmaceutical Technology Physical and Digital Counter-Terrorism Practice of Technical Communications Project Management Sustainable Design User-Centered Design 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 : Camden County College - Blackwood Camden County College - Cherry Hill Communiversity at Brookdale Community College Department of Environmental Protection Department of Transportation Gloucester County College New Jersey City University Schering-Plough Verizon Wireless Weekend University William Paterson University Wyeth Pharmaceuticals 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: High School Attended College BS / BA Holder Post-BA / BS Studies Masters Holder PhD Other I will furnish a copy of my unofficial transcript of the highest degree I have earned. The transcript is already on file at NJIT will be sent under separate cover 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: Certificate Distance Learning Extension Note: The first line is an example for CS 601, section 502, in the classroom Subject Course # Section Course Venue CS 601 502 Classroom Classroom Electronic Interactive TV Room Classroom Electronic Interactive TV Room Classroom Electronic Interactive TV Room Classroom Electronic Interactive TV Room Classroom Electronic Interactive TV Room Classroom Electronic Interactive TV Room Classroom Electronic Interactive TV Room I want to take my course(s) as an audit student: No Yes\ 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  
Title: Select Undergraduate Certificate Emergency Management and Business Continuity Information Systems Management Physical and Digital Counter-Terrorism The Science of Brownfields Implementation Not Listed? Please provide:
Title: Select Graduate Certificate Applied Statistical Methods Construction Management Critical Infrastructure Lifecycle and Security Management Data Mining Emergency Management Emergency Management and Business Continuity Emergency Management and Information Assurance Enterprise Systems Architecture Information Management for Managers Information Systems Implementation Information Systems Management Management Essentials Management of Technology Network Security and Information Assurance Pharmaceutical Management Pharmaceutical Manufacturing Pharmaceutical Technology Physical and Digital Counter-Terrorism Practice of Technical Communications Project Management Sustainable Design User-Centered Design Not Listed? Please provide:
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 : Camden County College - Blackwood Camden County College - Cherry Hill Communiversity at Brookdale Community College Department of Environmental Protection Department of Transportation Gloucester County College New Jersey City University Schering-Plough Verizon Wireless Weekend University William Paterson University Wyeth Pharmaceuticals 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: High School Attended College BS / BA Holder Post-BA / BS Studies Masters Holder PhD Other I will furnish a copy of my unofficial transcript of the highest degree I have earned. The transcript is already on file at NJIT will be sent under separate cover 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: Certificate Distance Learning Extension Note: The first line is an example for CS 601, section 502, in the classroom Subject Course # Section Course Venue CS 601 502 Classroom Classroom Electronic Interactive TV Room Classroom Electronic Interactive TV Room Classroom Electronic Interactive TV Room Classroom Electronic Interactive TV Room Classroom Electronic Interactive TV Room Classroom Electronic Interactive TV Room Classroom Electronic Interactive TV Room I want to take my course(s) as an audit student: No Yes\ 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  
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.
Check all appropriate boxes: I am a CommUniversity Student Other.
I am a CommUniversity Student Other.
Name: Street: City/State/Zip , Country: Type of Business: Your Occupation:
I will furnish a copy of my unofficial transcript of the highest degree I have earned. The transcript is already on file at NJIT will be sent under separate cover
Undergraduate Major:
Graduate Major:
For the current offerings, Please select from the following:
Note: The first line is an example for CS 601, section 502, in the classroom
I want to take my course(s) as an audit student: No Yes\
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.
Please or
Questions regarding the status of your application may be addressed to: