Non-Degree Application

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Personal Information

First Name (Given)

Middle Name

Last Name (Surname)

Preferred Name (Nickname)

Date of Birth

Are you a citizen of the United States?

Citizenship Country

Are you a green card holder that has been issued permanent residency in the United States?

Social Security Number

Gender

Do you consider yourself Hispanic or Latino?

Cell Phone

Personal Email

Home Address

Country

Street

City

Region

Postal Code

Is your home address the same as your mailing address?

Mailing Address

Country

Street

City

Region

Postal Code

Application Information

High School Attestation

I am in the process of obtaining my high school diploma or GED

I graduated with a diploma from high school

I earned a high school equivalency (GED)

Anticipated High School Graduation Year (yyyy)

Did you graduate high school or obtain your GED within the last 12 months?

No, I received my diploma or GED more than 12 months ago.

Yes, I received my diploma or GED within the last 12 months.

If for any reason this attestation is found to be false or untrue, Cornerstone University reserves the right to revise or rescind my offer of admission. I understand that if my response is found to be untrue while enrolled, I will be subject to immediate dismissal from Cornerstone University. I understand that accounts not paid in accordance with school policies may be submitted to a collection agency and that I would be responsible for all related collection costs.

With my signature below, I attest that the information provided above is true and correct to the best of my ability. I authorize Cornerstone University to contact my high school or high school equivalency exam administrators to confirm my attestation.

Attestation Signature (First & Last Name)

What course level of non-degree classes would you like to take?

Please select a category that you are most interested in pursuing for your graduate non-degree courses:

How do you intend to take your non-degree undergraduate courses?

How do you intend to take your non-degree graduate courses?

When will your non-degree studies begin?

In which month would you like to start?

Previous Degree Attestation

I understand that a requirement of graduate admission to Cornerstone University is a previously awarded bachelor's or master's degree.

I hereby certify:

I graduated with a Bachelor's or Master's Degree

I am in in the process of obtaining my Bachelor's Degree

If for any reason this attestation is found to be false or untrue, Cornerstone University reserves the right to revise or rescind my offer of admission. I understand that if my response is found to be untrue while enrolled, I will be subject to immediate dismissal from Cornerstone University. I understand that accounts not paid in accordance with school policies may be submitted to a collection agency and that I would be responsible for all related collection costs.

With my signature below, I attest that the information provided above is true and correct to the best of my ability. I authorize Cornerstone University to contact my previous college administrators to confirm my attestation.

Attestation Signature (First & Last Name)

Please indicate your non-degree status:

Family Information

Parent Type

Parent First Name

Parent Last Name

Parent Email Address

Do you have a sibling in Middle School or High School?

Sibling Type

Sibling First Name

Sibling Last Name

Sibling Email

Sibling Cell Phone

Sibling High School Graduation Year

Do you have another sibling in Middle School or High School?

Sibling Type

Sibling First Name

Sibling Last Name

Sibling Email

Sibling Cell Phone

Sibling High School Graduation Year

High School Information

1. Start typing the name of your school below. Options will begin to appear below the search field. Please choose your school and then verify that the city, state, and zip are correct.

2. If you are / were homeschooled, please select "Homeschool" for your "School Name" below.

3. If you are unable to locate your institution attended in the look-up field, please select "My School Is Not Listed".

High School Name

Self-Reported Cumulative High School GPA

Dual Enrollment Information

If you are planning on taking a dual enrollment course through a community partnership, please select the organization below.

Partnership Name

If you are a part of a Homeschool Co-Op program, please write the full name of the organization or school below. (Example: HSB)

Homeschool Co-Op

Transcript Release:
I authorize Cornerstone University to release information about my enrollment, attendance, progress and final grade, including a copy of my academic transcript, to my high school or homschool at the address found on this application.

Transcript Release

Do you agree to pursue the principles outlined in the Cornerstone University Student Handbook and be held accountable to its policies? View here.

Are there any particular areas that may be of concern or struggle for you as you consider the Cornerstone University Student Handbook? Please explain below.

Payment Information

How do you intend to pay for your non-degree coursework?

Self-Pay: Ineligible for State Reimbursement (i.e. Unaccredited Homeschoolers) must pay for their non-degree courses by ACH, Debit or Credit Card.
State of MI Reimbursement: Michigan students in grades 9 through 12 can use state reimbursement funds for dual enrollment if they attend a public or state-approved private high school.

Response:

Self-Pay: ACH, Debit or Credit Card
Direct Bill: Employer or Government Agency

Response:

Digital Signature

By providing my signature below, I certify that the information on this application is truthful and accurate to the best of my knowledge. Cornerstone University reserves the right to revise or rescind my offer of admission if any of my required responses are false. I understand that accounts not paid in accordance with school policies may be submitted to a collection agency and that I would then be responsible for all related collection costs.

Digital Signature

Signature Date

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