Non-Matriculated / Non-Degree Registration Request – SUNY Polytechnic Institute Forms

Form for non-matriculated/non-degree-seeking students to fill out to request to register. This form is term-specific.

Use this form only to apply as a non-matriculated student. Non-matriculated students are defined as students who are not currently accepted into a degree program. If you are interested in matriculating and pursuing a degree from SUNY Polytechnic Institute, you are encouraged to apply through the Graduate or Undergraduate Admissions Offices. There is a one-time fee for non-matriculated applications of $25. (It will appear on your semester billing statement when you register.)
Personal Information
Name * Required
First Middle Last
Your Address * Required
Street Address Address Line 2 City State ZIP Code
Is this address your PERMANENT address?
- Yes, this address is my PERMANENT address
- No, this is my school-year/local address
- No, this is a temporary address
PERMANENT Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Date of Birth * Required
Please enter your date of birth in MM/DD/YYYY format.

MM slash DD slash YYYY
Email Address * Required
Home Phone * Required
Cellular/Mobile Phone * Required
Sex * Required
Our computer system only allows the choice of "Male," "Female," or "Not Available."
- Male
- Female
- Not Available
For what term are you requesting to register? * Required
- Review of non-matriculated applications for SPRING 2025 will begin on NOVEMBER 11, 2024.
We will contact you regarding the status of your application after the review is complete to inform you of the outcome. Applications will be reviewed and responded to in the order in which they were received.
Are you participating in the Herkimer County DSS Program?
- Yes
- No
Demographic Information
Please indicate your race (select any/all that apply): * Required
As a State University, we attempt to collect demographic information on students registering, but you are under no obligation to submit this information. Submission or lack of submission of demographic information will have no impact on permission to register.
- American Indian or Alaska Native
- Asian
- African American or Black
- Native Hawaiian or Other Pacific Islander
- White/Caucasian
- I prefer not to answer
Are you Hispanic/Latino? * Required
- Yes
- No
- I prefer not to answer
If you are Hispanic/Latino, please select your background:
- Central American
- Dominican
- Mexican
- Puerto Rican
- South American
- Other Hispanic/Latino
- I prefer not to answer
Have you been a permanent resident of New York State for the last twelve months? * Required
- Yes
- No
Are you a U.S. citizen? * Required
If you have a "Green Card," please select "I am a Permanent Resident."
- Yes
- No
- I am a Permanent Resident
What is your Resident Alien Number? * Required
What is your Visa type? * Required
- F-1
- J-1
- H-1B
Academic History
Please indicate highest degree completed: * Required
- I am enrolled in high school
- High School diploma
- GED (or equivalent)
- I have taken some college coursework, but have not earned a degree
- I am currently enrolled in a degree program at another college/university
- Associate's Degree
- Bachelor's Degree
- I have completed a Bachelor's degree and am currently enrolled in a graduate program at another college/university
- Master's Degree
- Graduate Certificate of Advanced Study
GED/Equivalency Date:
College(s) Attended: * Required
Enter one college per line. Use the + icon to add additional lines.

Name of College/University Date(s) Attended Degree earned, if any
High School Attended * Required
Name of High School Location (City and State) Date Graduated (or planned to graduate)
Have you ever taken a course at SUNY Polytechnic Institute (formerly SUNYIT)? * Required
- Yes
- No
When did you last attend SUNY Poly (formerly SUNY IT)? * Required
Please indicate semester and year (spring, summer, or fall, and year).
What is your SUNY Poly ID# (U#)?
Reason for choosing non-matriculated coursework (select the one that most closely describes your situation): * Required
- I am interested in taking a course before applying to the UNDERGRADUATE program at SUNY Poly
- I am interested in taking a course before applying to the GRADUATE program at SUNY Poly
- I need the requested course for graduation, but it is not offered at my school
- I have applied to matriculate in an UNDERGRADUATE-level program in the future and want to get a head start
- I have applied to matriculate in a GRADUATE-level program in the future and want to get a head start
- I am repeating a course to increase my GPA
- I hope to use this course to qualify for a GMAT waiver
To which program have you applied/do you plan to apply? * Required
Is this a SUNY Cross-Registration request? * Required
Checking "yes" on this form does NOT start the cross registration process. Approval for SUNY cross-registration/Financial Aid Consortium must be processed through the SUNY form: suny.edu/crossregister.

Approval of the Cross Registration request is not technically necessary in order to register as a non-matriculated student, but if your home campus denies the Cross Registration request and you subsequently decide to cancel this request to register, please contact the Registrar's Office.

For more information about cross registration, please visit our Cross Registration page.
- Yes
- No
What is your Home SUNY Campus? * Required
Note that we are using official institutional names; many SUNY campuses are listed under "State University College at [city]." If you don't find your campus listed where you expect, please check under "S."
Registration Request
Course(s) Requested: * Required
4- Digit CRN (Course Reference Number) Course Subject (Ex: ENG, NSCI, CS, etc.) Course Number (Ex: 101, 215T, etc.) Section # (Ex: -01, -35W, -11H, etc.)
NOTE: Use a separate line for each course/section requested. Click the "+" indicator to add additional lines for additional sections.
- CRN: The 4-digit Course Reference Number. This identifier is unique to each section.
- Subject: The 2-4 letter couse subject (ENG = English, CS = Computer Science, NENG = Nanoscale Engineering, SOC = Sociology, MTC = Mechanical Engineering Technology, etc.)
- Course: The 3-digit course number (may include a T or L for lecture/lab courses). For example:
  - Freshman Composition: The subject is ENG and the course is 101.
  - Statistical Methods: Subject is STA and the course Number is 100.
  - Anatomy and Physiology I: Subject is BIO and the course number is 215T (lecture/theory) and 215L (laboratory).
- Section #: 2-3 digit course section number; may include a letter (usually W, S, A, B, C, or H).
If the course you are requesting has prerequisites, you must submit a copy of your unofficial transcript. You may upload it via the link below or you may email it to nondegree@sunypoly.edu or fax it to 315-792-7802.

If you are requesting a graduate level course, a transcript showing proof of Bachelor degree completion is required.

Some courses require departmental/academic approval. This may delay approving your registration.
Upload Unofficial Transcript here
To prove completion of prerequisite courses, we will need to see your unofficial transcript. You may upload it to this form, or you may fax it to the Registrar's Office at (315) 792-7802.

Max. file size: 50 MB.
Required Information * Required
Have you ever been dismissed from another college for disciplinary reasons?

Answering "yes" to this question will NOT automatically prevent denial of your request; An applicant who responds "yes" will be requested to provide additional information for consideration which will be reviewed by a campus committee. Any deliberate falsification or omission of data may result in your request being denied.
- Yes, I have been dismissed from another college for disciplinary reasons
- No, I have never been dismissed from another college for disciplinary reasons
By submitting this form, I acknowledge the following:
As a non-matriculated student, I am ineligible from receiving federal and/or state financial aid (TAP, Pell, Federal Direct Student Loan, etc.) for courses taken at SUNY Poly. However, I may apply for a private student loan through a lender of my choice. I may contact the Financial Aid Office (315) 792-7210 for information.

Coursework taken while in non-degree status may be applicable to the degree program upon formal admission, however, there is no guarantee of credit applicability or admission by completing coursework in non-degree status.

A maximum of 16 undergraduate credit hours and 6 graduate credit hours is allowed as a non-matriculated student.

As stated in SUNY Poly's FERPA policy:
- SUNY Poly may use certain information from this form for general publicity releases to the media.
- Photographs of students, faculty and staff taken on campus may be used to illustrate official college publications and advertisements.
- Students who wish to restrict release of biographic data information and/or photographs should follow the procedure outlined in the Student Handbook or contact the director of public relations, (315) 792-7113.
Acknowledgement * Required
I understand that I am not eligible for Financial Aid and that while coursework may apply to a future degree program, coursework taken as a non-matriculated student does not guarantee admission to a program at SUNY Poly, nor is there any guarantee made that courses taken will apply to a future degree program. I also understand that SUNY Poly's FERPA policy is published in the Student Handbook along with many judicial policies and procedures.

Acknowledgement
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Name of College/University	Date(s) Attended	Degree earned, if any

Name of High School	Location (City and State)	Date Graduated (or planned to graduate)

4- Digit CRN (Course Reference Number)	Course Subject (Ex: ENG, NSCI, CS, etc.)	Course Number (Ex: 101, 215T, etc.)	Section # (Ex: -01, -35W, -11H, etc.)

Personal Information

Demographic Information

Academic History

Registration Request

By submitting this form, I acknowledge the following: