Fields marked with an * are required
This is your 9 digit "87" number
*Address:
*City:
*State:
*Zip:
*Last Quarter you attended at DU:
*Quarter you plan to register:
*Year you plan to register:
Phone:
*Email Address:
Degree:
Concentration:
Degree Two:
Please state the reason for interruption of your graduate program:
List any colleges attended since you were last enrolled at DU. List Dates in this format (mm/dd/yyyy - mm/dd/yyyy)
College: Dates: College: Dates: College: Dates:
PLEASE NOTE: The University of Denver requires that the student submit official transcripts of all colleges attended since last enrolled at DU before he/she is allowed to register.
List employment activities (and effective dates) since last enrolled at DU. List Dates in this format (mm/dd/yyyy - mm/dd/yyyy)
Employer: Dates: Employer: Dates: Employer: Dates:
For ease of administrative processing of this application, please submit this application one month prior to registration week. You will be emailed when your application has been approved with your access code to register and a reminder as to when advising week begins.
* FOR INTERNATIONAL STUDENTS ONLY*
Birthplace:
Birthdate: List Date in this format (mm/dd/yyyy)
Citizenship:
Permanent Resident (resident alien) of the United States? Yes
Immigrant Visa Serial Number (from Green Card) Date Issued:
I plan to bring dependents with me to the United States I DO NOT plan to bring dependents with me to the United States Name of spouse Number of dependent children
By submitting this form you are stating that the information to the best of your knowledge is true and correct.
