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Simon School Part-Time Registration

Note: Fields with an asterik (*) are required.
Contact Information
Salutation:
*
First Name:
*
Middle Name:
Last Name:
*
Address 1:
*
Address 2:
City:
*
State:
*
Postal Code:
*
Home or Business Address:
*
Preferred Phone Number:
*
Preferred Phone Type:
*
Alternate Phone Number:
Alternate Phone Type:
E-mail Address:
*
Confirm E-mail Address:
*
Student Account Information
Please indicate your Undergraduate Institution and GPA:
*
Employer Name(Please indicate with N/A if currently unemployed):
Position Title:
Have you ever submitted an application for admission to a Simon or any other University of Rochester degree program?
*
Have you ever been an employee or student at Simon or the University of Rochester? If yes, please provide your NetID (http://www.rochester.edu/its/netid/).
Please attach your current resume:
*
Date of Birth (MM/DD/YYYY):
*
Gender:
*
Country of Citizenship:
*
Event Information
Which of the Part-Time Registration events do you plan to attend?
*
Select the program for which you plan to register:


Select the quarter for which you will begin classes:
*
How did you hear about the Part-Time Registration event (check all that apply)?














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