Online Non-Degree Application

What type of student will you be?

If the other Non-Degree is for the SALT program, this is the wrong application. DO NOT complete application and please contact salt@southern.edu for further instructions.

What are you planning on using this Non-Degree Application for?

To best assist you, please describe what you're planning on using this Non-Degree Application for

HIDDEN: Set Major to Non-Degree

Select the semester in which you will take classes:

Please select your High School class standing.

SAU ID Number
CAUTION: Be certain you enter the correct SAU ID number, INCLUDING the leading zero (0).

Name and Contact Information

First Name

Preferred Name

Middle Name

Last Name

Home/Permanent/Street Address

Country

Street

City

Region

Postal Code

Is your Mailing address different than your home/permanent address?

Yes

No

Mailing Address

Country

Street

City

Region

Postal Code

Email Address

Mobile Phone

Home Phone

Date of Birth

Gender

Citizenship

Are you a permanent resident of the US?

Country of Birth

Social Security Number (DO NOT INCLUDE DASHES)

What visa will you have?

Requested Statistical Information

This information will not affect your eligibility for admissions. Data is collected for statistical and reporting purposes.

Religious affiliation

Union

SDA Conference

SDA Church

Colleges and universities are asked by many groups, including the federal government, accrediting associations, college guides, and newspapers, to describe the ethnic/racial backgrounds of their students and employees. In order to respond to these requests, we ask you to answer the following two questions.

Are you Hispanic or Latino?

Yes

No

Regardless of your answer to the prior question, please check one or more of the following groups in which you consider yourself to be a member:

Marital Status

Dual Enrollment Application Information

Parent Information

A parent or legal guardian information must be included on your application. We require their authorization before you will be registered for your dual enrollment courses.

Relationship Type

Parent First Name

Parent Last Name

Parent Mobile Phone

Parent Email

Parent Email Invalid

IMPORTANT: Once you submit your application, an email will be sent to this email for your parent/guardian consent. They will also have the opportunity to pay for the class at that time.

Parent's Date of Birth

Does your parent/guardian have the same permanent address?

Yes

No

Address

Country

Street

City

Region

Postal Code

Educational Background

What school are you attending?

Current High School

Expected Graduation (Year and Month)

School's Location

Country

City

Region

Postal Code

Is the STUDENT a Tennessee resident?

Yes

No

Do you plan to apply for the TN State dual enrollment grant?

Yes

No

Have you received Dual Enrollment credits at another institution?

Yes

No

You can find more information about the Dual Enrollment Grant on the State of TN website.

IMPORTANT Payment Information
Students applying for the Dual Enrollment Grant are required to pay the full price for the courses selected. If the student qualifies for the grant, a refund will be issued once we receive the funds.

Tennessee Applicants:

Please note Tennessee students applying for the Tennessee Dual Enrollment Grant must submit transcripts from each college/university they received credit(s) from.

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Colleges
Attended College/University Lookup College/University Lookup College CEEB (HIDDEN) School Type - College Started Attending Started Attending Last Attended or Expected End Date Last Attended or Expected End Date College Location College Location Country Street City Region Postal Code

Add College

Educational Background

Graduating High School

Graduation (Year and Month)

School's Location

Country

City

Region

Postal Code

School Contact Information

In order to be admitted as a Dual Enrollment student to Southern, we must have verification from a School Representative of your academic history. Please provide the contact information for your school's registrar so we can follow-up on your behalf.

For Home School students this is often your parent/guardian.

First Name

Last Name

Phone Number

Email

School Contact Email Invalid

IMPORTANT: Once you submit your application, an email will be sent to this address for verification of your academic history.

Course Selection

Select the Course(s) you will be taking this semester:

(Please note that Dual Enrollment students are limited to 6 credits per semester)
You can find course descriptions for each class in our Academic Catalog

Select the Course(s) you will be taking this semester:

(Please note that Dual Enrollment students are limited to 6 credits per semester)
You can find course descriptions for each class in our Academic Catalog

Developmental Psychology (PSYC128, 3 Credits)

Statistics (Math 215, 3 Credits)

Tuition Price Per Credit Hour

Credit Hours Selected

Tuition Cost

Additional Information

Have you ever been dismissed or ineligible to return to any school?

If yes, please explain:

Have you ever been convicted of misdemeanor or felony?

If yes, please explain:

Application Certification and Signature

Student Life Pledge:

As a student at Southern Adventist University, I will consistently commit myself to academic, spiritual, social, personal, and corporate responsibility. I will follow directions in the university catalog and apply my best effort to my academic program with inquisitiveness, propriety, honesty, and integrity. I will abide by the codes of conduct outlined in the student handbook and promote the same conduct among my peers. I will honor the university mission of seeking and teaching truth as revealed by Jesus Christ in the Bible. I will balance work, study, and recreation with Sabbath rest and spiritual enrichment. I will show respect for all members of the university community—their lives, property, and environment. This includes recognizing every individual as an infinitely valuable child of God, respecting diversity, participating in community service, and using communication technologies ethically. I will develop high standards of personal health, wellness, and entertainment and will promote the same for other members of the university community. I will avoid alcohol, tobacco, improper drug use, and sexual activity outside of Biblical marriage. I will become an active participant in the corporate life of the university, taking initiative to meet all my duties under its regulations. This participation includes financial obligations, program and class attendance, appropriate dress and decorum, vehicle procedures, and fulfillment of my designated role as a member of this residential community.

Image Release
I authorize the use and reproduction by the university, or anyone authorized by the university, of any images taken of me while enrolled at Southern, whether distributed by print medium, video, DVD, Internet, television, or any other mode or medium, whether now existing or subsequently developed. All such images, however stored, shall constitute Southern Adventist University property, solely and completely, and I shall be entitled to no compensation for the use of my image. This authorization shall include without limitation university publications and advertising and classroom video taping.

Application Certification
I certify that all of the information submitted in the application is my own work, factually true, and honestly presented. I authorize all schools attended to release all requested records and authorize review of my application. I understand that I may be subject to a range of possible disciplinary actions, including admission revocation or expulsion, should the information I certified be false.

Check each box to acknowledge you have read the terms listed above.

Student Life Pledge

Agree

Image / Media Release

Agree

Application Certification

Agree

In place of your signature, please type your full legal name:

Online Non-Degree Application

Tennessee Applicants:

Please note Tennessee students applying for the Tennessee Dual Enrollment Grant must submit transcripts from each college/university they received credit(s) from.

Attended College/University Lookup