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Home > News & Events > Pre-admission Questionnaire for Prospective Adult & Nontraditional Students

Pre-admission Questionnaire for
Prospective Adult & Nontraditional Students

Before you complete this application we recommend that you take the Self-Assessments for Prospective Adults and Nontraditional Students. Please be prepared to discuss your assessments results during the counseling session.

Should you encounter an error please email: ucc@rci.rutgers.edu.

RSVP Form

General Information
Name:
Date of Birth:
Address:
 
E-mail:
Telephone: (in order of preference)
 
 
 
How did you hear about this site?
Family Information
How many individuals are living in your household? Adults Children
Marital Status:
How would you rank your support structure with regard to academic pursuits?
About how many hours can you dedicate to studying a day? hours
Educational Background
Certificates/Degrees Already Received (select all that apply):
None
Associates
Bachelors
Masters
Continuous Education Certificate(s)
Other
Have you attended more than one college?
Name of College/University:
Total number of years attended: years
Total number of degree/credit hours achieved to date:
Major/Program of Study:
Employment/Military Association Information
Do you currently have a job?
Are you a dependent/spouse of a veteran?
Do you have any military association?
Are you currently in the military?
If active/inactive which branch? As part of formation:
What is your occupation?
How many hours per week do you work? hours
How many years have you been with your current job? years
Does your job have a tuition reimbursement plan?
Where do you see your career in five years?
Do you have a computer?
Do you have internet access?
Educational Opportunity
Are you seeking to complete a(n):
What program of study do you wish to pursue?
Why do you want to pursue the above?
Find the Right Place that Suits Your Needs
Are you interested in a College/University that offers (select all that apply):
Online Courses
Weekend Programs
Evening Classes
Certificate Programs
Degree Programs
 Training Programs
Math Prep Programs
Writing Prep Programs
Career Portfolio Review
Other:
What factors will ultimately contribute to your decision
regarding which school you attend?
Which academic setting do you prefer:
Which of the following presents a barrier in advancing educationally (select all that apply):
Transportation
Reliable Childcare
Financial Aid
Fulltime Employment
Other:
How far would you be willing to drive/commute to class? miles, or minutes
Are you interested in a learning prep program before beginning college courses?
What other ways may we help you reach your educational goals?

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Last Updated: 05/05/2009

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