Non-Credit Registration Form

Personal Information

Questions on this form may be used for the creation of student records for admitted students, and for analysis and reporting.

Prefix

First Name

Middle Name

Last Name

Preferred Name

Birthdate (for database consistency purposes only)

Email Address

Phone Number

Permanent Address

Country

Street

City

Region

Postal Code

Program Selection

Program

A minimum of a Bachelor's degree is required for registration to the program selected. Registrants without a Bachelor’s degree may be eligible for program enrollment upon review of professional experience and interview with the program director.

Quarter Start

Professional Experience

Primary Industry

Industry: Other

Primary Work Function

Primary Work Function: Other

Years of Professional Work Experience

Will your company financially sponsor your participation in the program?

Resume/CV Instructions: Applicants who do not submit fully complete required documents will be denied course admission and must resubmit the enrollment form with all documentation to be reconsidered.

Resume/CV Upload a Word or PDF document

Or, type or copy-and-paste your document here:

Academic Information

Identify the highest level of education completed below. Please note: Transcripts are not required. If additional information is needed, the program will contact you directly.

Highest Degree Conferred

Expect to be contacted by the program director for enrollment eligibility without a Bachelor’s degree

Will your undergraduate (Bachelor's) degree be conferred by or before the start of the program?

Yes

No

Additional Information

Candidate Statement Instructions: Please provide a one-paragraph statement describing your specific educational objectives and how they will be served by the program and why these objectives are important for your personal or professional goals.

Candidate Statement

Or, type or copy-and-paste your document here:

I understand that this program has a mandatory synchronous component. The “online self-paced” dates relate to the beginning and end date of each course while the “online fixed dates” refer to the synchronous session schedule.

I certify that the information that I have provided in my application is truthful, complete and accurate.

All of the material that I have submitted as my own work, in fact, is entirely my own work.

Please note that the University of Chicago reserves the right to remove and refund registrants that do not meet the educational and professional requirements necessary to participate in this course.

In place of your signature, please type your full legal name:

The University of Chicago: Graduate Studies

Non-Credit Registration Form

The University of Chicago