Application for Non-degree Seeking

Please complete the form below if you are interested in enrolling in Tiffin University classes without pursuing a degree. All transient and non-degree seeking students must submit an application. No application fee is required.

* Required information
First Name: *
Last Name: *
Former Last Name:
Gender: *
Date of Birth: *  
Ethnic Background: *
Street Address: *
City: *
State: *
Zip: *
Home Phone: *
Cell Phone:
Email Address: *
Preferred Method of Contact: *
Program of Interest: *
Enrollment Term: *
Please list any other Colleges/Universities you have or are currently attending:
Will you be reimbursed for tuition cost? *
How did you hear about Tiffin University? *
Have you ever been convicted of a felony? *
Have you ever been dismissed or suspended from another college or University for academic or disciplinary reason? *
By submitting this form, I certify that I have carefully considered each question above and that my statements are true and complete to the best of my knowledge. I hereby authorize the release of my official transcripts to Tiffin University and authorize this institution to obtain any indicated test scores directly from the appropriate testing agency. I understand that knowingly submitting false information may warrant dismissal and prevent subsequent registration from Tiffin University.