Summer Session Application
-Visiting Students Only-

(You must read this information before submitting this application)
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Fill in the required fields below

*Semester:   

PART I: GENERAL INFORMATION – You must read this information before submitting this application

  1. If you are currently enrolled at a CUNY college you must file an ePermit with your home college.
  2. If you are a former Queensborough degree or non-degree student, you must file an Application for Readmission with the Office of Admissions.
  3. A new application must be completed even if you have previously attended QCC as a visiting student.
  4. Proof of Immunization: Students must complete all immunization requirements if registering for more than 6 credits.

PART II: STUDENT QUESTIONNAIRE

*Are you currently enrolled at another CUNY college?(If "yes" you must file an E-permit to take courses at Queensborough)    

Social Security Number (Numbers Only): (example: 123456789)

If you do not have a social security number, a unique identifying number will be assigned to your file.This will in no way affect your admission status.

*First Name: Middle Initial: (Any prior last name used) *Last Name:
     
*Address (line 1): Address (line 2): Apt #
     
*City: *State: *Zip (Postal Code):
       
  *Gender:
  *Date of Birth: (MM/DD/YYYY)  
*Email:
(valid email address required for registration confirmation)
 
    *Preferred Phone :
*How long have you lived at your current address? Years Months
 
 
 
 
*How long have you lived in New York City (within the boroughs of Bronx, Brooklyn, Manhattan, Queens, or Staten Island)? Years Months
 
 
 
 
*How long have you lived in New York State? Years Months
 
 
 
 
  *Are you a U.S. citizen?
 
If no, state country of citizenship:
Immigration status:
alien registration
(green) card #
 
state type of visa
  *Are you a veteran?
If yes, indicate dates of service:
 
From (mm/yyyy) To (mm/yyyy)
   
  *Name of the institution currently attending:

I hereby certify that all the information in this application is accurate and complete. I realize that failure to file the appropriate application may affect my admission status. I understand that all the information contained in this application will be treated confidentially and will be used for institutional purposes only.

   

Please indicate courses by Department Code, Course Number and 4 digit course code:

Some Chemistry; Biology; Physics and English courses may require prerequisites.

1st Choice Courses 2nd Choice Courses
  Department:
 
  Course Number:  
Class Number:
 
Department:
 
Course Number:  
Class Number:
1st Choice Lab Code
(if needed)
2nd Choice Lab Code
(if needed)
Department:
 
Course Number:  
Class Number:
Department:
 
Course Number:  
Class Number:

IMPORTANT INFORMATION

  • Application Fee: A non-refundable fee of $65.00 will be added to your bill.