Pre-College/Summer Academy

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Summer Academy Application

High School Course Pre-registration

   Before you begin..

    1. Vermont Dual Enrollment students: you will need a voucher number to register. Obtain a dual enrollment voucher
    2. You will need your social security number
    3. You may be asked about tax history in the residency section (page 3)
    4. You can save this form and return later at any time.

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Pre-college
Student's Name and Email address

your full and legal first name


Your full and legal last name

Use the same email address on all forms for faster service. 



For example, if you and a sibling use the same email address, your accounts may become combined and cause registration delays

MM/DD/YYYY


Contact learn@uvm.edu
To change an existing course, please email learn@uvm.edu with the following information:
  1. Title of the old course that you are replacing
  2. Subject, number, section, title, and 5-digit CRN (course registration number) of the new course.
It is not necessary to submit this form.
Student Contact Information









(XXX) XXX-XXXX

(XXX) XXX-XXXX

(XXX) XXX-XXXX
Course of study
High School Course Selection
Identify the existing course that you want to replace

This is a five (5) digit number. Look up the course number

Cut and paste the exact title
Course Selection Method
Science Labs

Examples: Biology (BIOL BCOR) College of Agriculture and Life Sciences (CALS) Engineering (CE, ME, ENGR) Chemistry (CHEM) Geography (GEOG, GEOL) Physics (PHYS)
Lab courses usually are in the following subject areas:
  • BIOL (Biology)
  • BCOR (Biology/BioCore)
  • CALS (College of Agriculture and Life Sciences)
  • CE, ME, ENGR:  Engineering
  • CHEM: Chemistry
  • GEOG: Geography
  • GEOL: Geology
  • PHYS: Physics 



The first column of buttons is for your first choice of course.  In case your first choice is not available, the second row of buttons is for your second choice of course.  Show me how to select courses

  1. Visit the webpage of the UVM Registrar.
  2. Click on the Schedule of Courses for the correct term
  3. Select the College/School or Subject
  4. View pre-requisites/notes before selecting this course - you may require permission
  5. If your course requires a lab, use the 'second choice' fields to enter the lab section info
  6. Enter the course information below
Course Table
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Course 1 (first choice)


Example: 012

Example: "OL3" (No spaces)


The Course Registration Number (CRN) is a five-digit identifcation number





Course 2 (second choice or lab section)


Example: 012

Example: "OL3" (No spaces)


The Course Registration Number (CRN) is a five-digit identifcation number




Lab may be required

You will be registered for both the lecture and the lab.
Math Course Placement Test Self-selection/Pre-Requisite Check
All first-time math students are required to take an online math placement test before the course begins.  We will contact you with details.


A placement exam is required of first-time math students.

Pre-requisites must have been taken at UVM. Look up your course to check the pre-requisites.
Summer Academy Admissions




A GPA (grade point average) below a 2.8 does not automatically disqualify you from taking a course at UVM.


2-3 Sentences, 500 characters maximum
Engineering Institute Scholarship
Limited scholarships are available based on financial need and our commitment to developing diversity in Engineering. If you are interested in receiving a scholarship, please provide details to us. The deadline for scholarship consideration is Friday, [tbd] by 5:00pm.


1000 characters or less






Page 2


Demographic information
Student Citizenship

Social Security Number

Enter in this format: XXX-XX-XXXX


Non Citizen/Non Permanent Resident


ex. F-1; J-1; L-2; H-4

Student Information
For International Students

Short-term health insurance is required for international students. We recommend short-term health insurance through HTH worldwide



Note that you are not required to answer "yes" to this question, or provide an explanation, if the criminal adjudication or conviction has been expunged, sealed, annulled, pardoned, destroyed, erased, impounded, or otherwise required by law or ordered by a court to be kept confidential.

These actions could include, but are not limited to: probation, suspension, removal, dismissal, or expulsion from the institution.

Race/Ethnicity
The section below is optional

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:
High School Information

Current High School


if your high school is not listed, plesase select "Not Listed Below" and contact learn@uvm.edu

Page 3



Even if you live in Vermont, you must complete this section in order to be considered for in-state residency status. In-state residency is based on UVM Residency Policy
Vermont Residency

Vermont Residency Questionnaire

In order to be considered for in-state tuition, you must complete this section. The final decision on residency is made by the residency office. Regardless of your responses below, it is the student's responsibility to understand their final residency determination before they register. The residency office may request additional information before determining residency status. All Applications for In-State Status should be received no later than the last day of the Add/Drop period for the semester for which in-state status is sought. All applications received after the Add/Drop period will be considered for the following semester for which the student is enrolled.

Learn more about UVM residency criteria


For example:

IBM, Essex Jct VT, 5/2000-5/2005
Green Mountain Coffee Roasters, Waterbury VT, 6/2005-present


Employers
Please list employers for the last two years below
Employer




MM/DD/YYYY


MM/DD/YYYY (list today's date if currently employed)

Example:2015- Vermont
2014- Vermont
2014- New York



MM/DD/YYYY








Enter years and months (i.e. 10 years, 2 months)
Other address





For Vermont Residents Only: The information above does not change the residency status established at your last enrollment. For information on filing for in-state status, contact the Residency Office, Registrar's Office, 85 South Prospect St., (802) 656-8515.

Information is also available online under Policies & Procedures on the Registar's webpage.

Page 4

Reduced-Tuition Program Eligibility




Dual Enrollment

Based on your answers above, you may qualify for a Dual Enrollment Voucher.  Dual Enrollment vouchers allow Vermont high school students to take up to two college courses total during their Junior and Senior years at a reduced price. Learn more about Dual Enrollment.

Note that voucher for Summer 2017 will be available in late January, 2017


 See fee details

Apply for a voucher (you can save this form and resume later if you like -- see top of page).


Approvals
Guidance Counselor Communication
Enrolling in a course at UVM while in high school may have implications for your high school education. Please acknowledge below that you will be in communication with your guidance counselor about your educational plans at UVM.

Parent/Guardian Contact Information



(XXX) XXX-XXXX

We will contact this address to approve course selection and for payment of the deposit.





Terms and Conditions

Please check each of the boxes below

For more information about tuition, fees, and UVM billing procedures, visit UVM Student Financial Services.


Please check each of the boxes below


Schedule of rates

*The comprehensive fee is mandatory and covers the use of facilities such as the Davis Center, shuttle bus services, library services, etc. These fees are payable online via electronic check or credit card.


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