Eligibility Form
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Request for Registration Eligibility Form

Summer 2008

Please complete this form by typing in the necessary information, as indicated in the instructions. The completed printed form and the necessary documentation should be mailed to the appropriate address listed below or brought to the University.

  • Kean University
  • One Stop Service Center
  • 1st Floor Administration Bldg.
  • 1000 Morris Avenue
  • Union, NJ 07083
  • Kean University
  • Graduate Admissions
  • Townsend Hall T-122
  • 1000 Morris Avenue
  • Union, NJ 07083
  • Kean University
  • Undergraduate Admissions
  • 2nd Floor Kean Hall
  • 1000 Morris Avenue
  • Union, NJ 07083

To Print this form, click on 'File', from the menu bar at the top of your web browser then click on 'Print'.

Part 1 Basic Information for All Students

Last Name: First Name:  M.I.:  

Date of Birth (mm/dd/yy):                          SS#: 

Address:

City:          State:         Zip: 

Master's Degree Granted (mm/yy):      Institution:   

Bachelor's Degree Granted (mm/yy):   Institution:

Check Appropriate Eligibility:  Kean students NOT currently attending (07/FA - 08/SP)
  Graduate           Date last attended 
  Undergraduate    Date last attended
  Readmitted Fall 2008
Newly admitted Fall 2008: Undergraduate                Graduate
  High School Student
  Undergraduate Non-matriculated student     Graduate Non-matriculated student*
Visiting student: Undergraduate                Graduate
  Full-time Kean employee
  Senior citizen
Documentation is required -- See instructions for submitting Request for Registration Eligibility Form

Part II Additional Information for New Students Only

COUNTY CODE:  DAYTIME TELEPHONE:
                                                                                                    Area
SEX:     Male       Female

RESIDENCY:      01 In State (NJ)    Years in NJ      02 Out of State

ETHNIC GROUP:

CITIZENSHIP:

 1 US Citizen
  2 Permanent Resident - Alien Registration Number   #A
  3 Foreign Student (F-1 Visa)

Part III Request for Registration eligibility list

1. Early Registration   (*See Registration Availability Chart) Session I & Session II, March 31 - April 4, 2008
 

Session I

Session II
2. Registration May 12-14, 2008 May 12-14, 2008 & June 23-25, 2008
3. Late Registration May 19, 2008 June 30, 2008
4. Senior Citizen/Space Available May 14, 2008 June 25, 2008

Part IV Enrollment Certification for All Visiting Students
                                                    To be completed by home institution for every Visiting Student
 I certify that the above named student is a currently enrolled Graduate or Undergraduate student in good academic standing.

at __________________________________. These credits will be accepted according to our transfer policy.
         (print name of College or University)

             NAME ____________________________________________________

             TITLE _____________________________________________________

             SIGNATURE AND COLLEGE SEAL ____________________________

Part V Signature

I hereby certify that the above information is accurate:  Student's Signature ___________________________

*Special note: to register using the Kean Wise System during early registration, students must submit their Eligibility Form to the appropriate office by March 14, 2008. For the Summer I registration in May by May 2nd and for  the Summer II registration in June by June 13th.  This will allow for adequate time to process the request. The student will then be mailed a user name and pin number to allow access to the Kean Wise system. After this date, students must drop off their forms in person and be prepared to wait until they receive their user-name and pin to register.

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Last modified: 12/21/2007