Special Student Registration Form

Relationship*

First Name*

Last Name*

Email Address

Cell Phone

St. Lawrence Alum?

Yes

Graduation Year*

Maiden Name (if applicable)

Add Parent 2

Relationship*

First Name*

Last Name*

Email Address

Cell Phone

St. Lawrence Alum?

Yes

Graduation Year*

Maiden Name (if applicable)

Most Recent School Information

Please include the high school or college where you are currently enrolled, or the high school or college that you most recently attended.

School Name*

(Anticipated) Graduation Date*

Special Student Enrollment Information

This enrollment will be during the:*

You can find our Guest Course Catalog here.

Checking the box below acknowledges that the applicant has read and signed the St. Lawrence University academic honor code.*

Yes

Emergency Contact Name*

Emergency Contact Phone*

Financial Guarantee Statement

Are you a dependent student (according to the FAFSA guidelines)?*

Yes

In consideration of my acceptance as a Special Student at St. Lawrence University, I (the student above) and/or my parents/guardians hereby guarantee payment of all fees for tuition, housing, and all other financial obligations incurred or hereafter incurred while in attendance at St. Lawrence University. I understand that my course registration is contingent upon the establishment of a payment plan or payment in full of all fees prior to the first day of the class.*

Yes

Enter your parent's or guardian's name, indicating that they are supportive of your application as a Special Student at St. Lawrence University and that they have read and understand the Financial Guarantee Statement:*

In consideration of my acceptance as a Special Student at St. Lawrence University, I (the student above) hereby guarantee payment of all fees for tuition, housing, and all other financial obligations incurred or hereafter incurred while in attendance at St. Lawrence University. I understand that my course registration is contingent upon the establishment of a payment plan or payment in full of all fees prior to the first day of the class.*

Yes

Additional Information

I am interested in learning more about full-time enrollment at St. Lawrence University:*

Student Type:*

First Year

Transfer

Preferred Entry Term for St. Lawrence*

Primary Academic Interest

Additional Academic Interest