Non-Degree Application

Personal Information

First Name

Middle Name

Last Name

Preferred Name

Birthdate

Social Security Number

Email Address

Cell Phone Number

Home Phone Number

Mailing Address

Country

Street

City

Region

Postal Code

I am a:

High School Student

Student at another institution

Community Member

Employee

If currently enrolled at a high school or another college/university, please list the name of the school.

Gender

Male

Female

Other/Prefer Not to Answer

Academic Information

I am interested in:

Taking a Specific Course(s)

Lexington/Richland 5 School District

Richland School District 2

*If you are interested in taking a Certificate program, please complete the admissions application here.

Program of Interest:

Something Else

Poverty Endorsement

Educational Technology

Options Available:

SOWK 525

EDU 515

Please list what degree(s) you have currently earned

Using the space below, please provide your work experience (business name, job title, location and years worked)

If applying to enroll in a graduate course, please have a copy of your official transcripts that show your baccalaureate degree posted sent to:

Registrar's Office
Columbia College
1301 Columbia College Drive
Columbia, SC 29203

Please list the course information for the following fields.

Term in which you wish to enroll?

Fall 2024

Spring 2025

Summer 2025

Fall 2025

Course Prefix and Number

Course Title

Do you wish to register for a second course?

Yes

No

Course Prefix and Number

Course Title

Which term do you wish to enroll in?

Spring 2023

Summer 2023

Fall 2023

Which course(s) are you interested in taking?

Educational Technology

Living in Poverty (EDU 515)

Home, Community, and Classroom Partnerships in High Poverty Areas (SOWK 525)

Acknowledgement and E-Signature

By e-signing below and submitting this form, I verify that the information provided on this application is complete and correct to the best of my knowledge. I understand that I am responsible for all charges associated with the course(s) I am registering for unless I am registering through a prior made agreement with another organization.

Signature

Date