Students in Special Standing

Thank you for your interest in applying as a Student in Special Standing. To apply, please fill out this form.

Applicants for a degree program must use the appropriate school’s application.

If you have additional questions regarding students in special standing, please contact Jetaun Davis, Senior Associate Dean of Admission, at jetaun.davis@emory.edu.

*Do you hold an undergraduate degree?

Yes

Thank you for your interest in Emory University. If you have already earned a bachelor’s degree or its equivalent, you should not apply for special standing through the Office of Undergraduate Admission. Emory does not offer second bachelor’s degrees. Instead, we encourage you to explore non-degree or graduate-level opportunities through the Laney Graduate School.

*I plan to begin

*Have you applied previously for admission to any division of Emory University?

Yes

Which term and year?

What division?

Did you apply under a different name?

Yes

What name?

Personal Information

*Emory EMPLID

*First Name

Designated/Preferred Name (If Different)

Middle Name

*Last Name

*Email Address

*Telephone Number

*Permanent Address

Country

Street

City

Region

Postal Code

*Date of Birth

*Birth Country

*Birth State

*City of Birth

*Citizenship

Visa Type

US Permanent Resident

Yes

Alien Registration Receipt ("green card") number

If you are not a U.S. citizen but live in the United States, how long have you lived in the country?

*This information will be used only in accordance with Title IX of the Education Amendments of 1972.

Optional Information

First language, if other than English

Language spoken in your home

If you wish to be identified with a particular religion, please identify your faith or denomination

If you wish to be identified with a particular ethnic group, please check all that apply.

Professional Information

*Emory Email Address

*Campus Department

*Position

*Supervisor's Name

*Campus Telephone Number

*Campus Address

Educational History

*High School Name

*High School Dates of Attendance

*High School Graduation Date (Month and Year)

Undergraduate College

Undergraduate Dates of Attendance

Signature

I have read and fully understand the restrictions and guidelines of this application for admission as a student in special standing, and I agree to furnish correct and complete information. I understand and agree that if I furnish incorrect or incomplete information on this application or in connection with this application, that this may result in my admission being denied or revoked or in my suspension or expulsion from Emory College or any other school or college of Emory University. I further agree that if I am accepted I will abide by all the rules, regulations, practices, and policies of Emory University, including the Honor Code of Emory College and the Emory University Undergraduate Code of Conduct as they may be at the time of admission or as they may be changed during my continuance as a student. I also agree to keep your office informed of any loss of good standing, if such should occur. By signing below, I authorize and consent to the release by all schools I have attended of all information requested by Emory University in connection with my application, including but not limited to all academic and disciplinary information and records pertaining to me.

If I am admitted and if I enroll in Emory College, I accept responsibility for payment of charges for educational services. These include but are not limited to the expenses for tuition, room, meal plan, activity and recreational fees, library charges, campus traffic and safety fines or assessments, health service fees, late registration fees, and costs that might be incurred by Emory University in the collection of unpaid balances.

*Applicant's Signature
Please type full legal name as your electronic signature.