Special Graduate and Pre-Degree Application

This form is for students who hold a bachelor's degree and wish to enroll in courses but are not currently pursuing a degree program. Maximum enrollment for a special student is 8 credit hours per semester.

There is a limit to how many credits earned as a Pre-Degree Graduate Student may be used for subsequent graduate degrees at NMT. Please refer to the catalog for more information.

I am applying for:

Personal Information:

First name:

Preferred name:

Middle name:

Last name:

Alternate Last name:

Phone:

I would like to receive text messages from New Mexico Tech (Message & Data rates may apply)

Yes

Date of birth:

Sex

Pronouns

Are you Hispanic or Latino?

Select one or more of the ethnicities that apply to you.

Present address:

Country

Street

City

Region

Postal Code

Primary Citizenship

Dual Citizenship

Legal State of Residence

How long have you been a resident of your state?

Birth Country

Birth City

Birth State

Have you ever been convicted of a crime (felony or equivalent) that could have resulted in one year or more of prison time (following a jury or bench trial, a guilty plea, or a nolo contendere plea), been charged with such a criminal offense that was later dismissed as a result of a plea bargain or alternative sentencing arrangement, or are such criminal charges pending or expected to be brought against you?

Academic History:

Have you ever been enrolled at NMT before?

What is your 900 number?

Are you in good academic standing at the last institution you attended?

Delete_ID_
List all colleges and universities attended, including professional schools.
Name of the Institution CEEB (hidden) Level of study Degree Major Start Date Start Date End Date End Date Degree Date Degree Date Unofficial Transcript - To better advise you, please provide an unofficial transcript

Additional Institution

Educational Goals:

Pre-Degree Graduate Students are students who are planning to pursue a degree at NMT in the future. Special Graduate Students do not plan to seek a degree. Please indicate your degree objective.

Degree Objective:

None

Certificate

Master's

Doctorate

Area of interest

Program

Campus

Please note: Not all programs offer distance courses

Which Country will you be residing in while taking distance classes?

Which State will you be residing in while taking distance classes?

Resume or Curriculum Vitae:

Signature:

I certify that all of the information and statements I have provided as part of this application process, including those statements contained in the application and as part of the evaluation verification process are current, accurate, and complete to the best of my knowledge. I understand that withholding information requested as part of the application process or submitting false or misleading information may be grounds for denial of admission by any participating program or expulsion from said program after admission.

Signature