Jefferson Graduate Non-Degree Application

Thank you for your interest in non-degree coursework at Thomas Jefferson University.

You will be prompted to upload a copy of your unofficial transcript(s) to the MyJefferson portal upon submission of your application. If you are applying to take coursework in the Institute of Emerging Health Professions or the Jefferson College of Nursing, you will also be required to upload your professional license.

If you have any questions prior to submitting this application, please contact Graduate Admissions at enroll@jefferson.edu.

Student Information

First Name

Middle Name

Last Name

Birthdate

What was your sex assigned at birth?

What is your current gender identity?

Other Gender

Primary Citizenship

Are you a US Permanent Resident?

Social Security Number
(Your social security number is required to create your student account and grant you access to register for courses.)

Contact Information

Permanent Address

Country

Street

City

Region

Postal Code

Mailing Address

Country

Street

City

Region

Postal Code

Email Address

Mobile Phone

Home Phone

I permit Thomas Jefferson University to contact me via text and voice messaging. Standard messaging rates may apply.

Yes

Non-Degree Information

Why would you like to take a non-degree seeking course?

College

Format

Entry Term

If known, list the course name and course number of the course(s) you would like to take.

Select the course you would like to take.

Do you have your RN license?

Are you seeking to take Surface Imaging courses?

You are required to submit a brief statement of purpose outlining your interest in the program, how the course of study relates to your desired career path, and your academic and job-related experiences that are relevant to the program. After you submit the application, your MyJefferson portal will include details on how to submit this statement.

In what state did you receive your license?

What is the date of your current license?

What is the expiration date of your current license?

Degree-Granting Institution

Please enter the institution you received your last degree from (graduate, professional or undergraduate). In order to enroll in non-degree courses, applicants are required to provide an unofficial copy of your transcript from your most recent degree program.

Please enter the institution you earned your BSN degree from. In order to enroll in non-degree courses, applicants are required to provide an unofficial copy of your transcript from your BSN degree program.

Institution Type

Institution Name

Degree

Degree Date or Expected Degree Date

Disclosures and Other Information

Have you ever been disciplined by any high school, college or university for unacceptable academic performance, inclusive of academic probation, suspension, and dismissal?

Please provide more information below including: a brief description of the incident(s), date of infraction(s), specific charge(s) and outcome(s), and a reflection on how this incident(s) has impacted your life.

Have you ever been disciplined by any college or university for conduct violations?

Have you ever been convicted of a crime, including a felony or misdemeanor, or do you currently have any criminal charges pending against you in any court? Please note that conviction includes judgment, found guilty by a judge or jury, pleaded guilty or nolo contendere, received probation without verdict, disposition in lieu of trial, or ARD.

Please provide more information below including: date(s) of infraction(s), nature of infraction(s), specific charges and outcomes, and a reflection on how this incident(s) has impacted your life.

Additional Questions

What is your US military affiliation?

Have you previously attended Thomas Jefferson University?

Are you employed by one of the following Jefferson entities?
(Thomas Jefferson University, Jefferson Health, Jefferson Health Plans, Lehigh Valley Health Network)

Select the option that represents your primary place of employment:

Please provide your Jefferson or LVHN email address:

Certification

By choosing "I Agree", I certify that the information I have provided on this application is complete and accurate. I understand that all records submitted in support of an application become property of Thomas Jefferson University and cannot be released to the applicant, any institution, or third party. I understand that deliberate falsification, misrepresentation, or omission of information on this application or my credentials, may result in the denial or revocation of admission and, if enrolled, will result in disciplinary action including dismissal from Thomas Jefferson University.

I Agree

As a non-degree student I have not been offered admission into a degree program at Thomas Jefferson University. My registration as a non-degree student does not guarantee future admission into any Thomas Jefferson University degree program. I must apply with a separate application if I want to be considered for a degree program in the future.

I Agree

Credits earned while I am a non-degree student at Thomas Jefferson University may be applied to a future degree program (time limit may apply). A limit to the number of credits a student may earn in non-degree status exists (specific to given College or program).

I Agree

My enrollment as a non-degree student is at the discretion and requires the permission of Thomas Jefferson University.

I Agree

Registering for a course as a non-degree student will generate a tuition payment due on my account; as a student I am responsible for any/all transactions processed against my academic record. As a non-degree student I am not eligible for student/federal financial assistance.

I Agree