Individual Course Application

Please note that submission of your undergraduate transcript is required in order to process this application*. A copy of your transcript may be faxed to the department you are applying to expedite your application until the original arrives. Transcripts should be sent directly to the department that you are applying:

Villanova University College of Engineering
Attn: ___ Department Individual Course Program
800 Lancaster Ave
Villanova
PA 19085.

Students with foreign undergraduate universities are also required to submit GRE and TOEFL scores.

Department Fax Numbers

CEE: 610-519-6754
ECE: 610-519-4436
ME: 610-519-7312
CHE: 610-519-7354
SE: 610-519-5859

Program Details

Accepted applicants may take a maximum of two graduate courses at the non-matriculated individual course level prior to applying for a graduate degree or certificate program. Courses taken non-matriculated may be applied towards a matriculated program.

Please contact engineering.grad@villanova.edu or 610-519-5840 for further information.*

PERSONAL INFORMATION

Family/Last Name	Given/First Name	Middle Name


Social Security Number:

Gender: Male: Female:

Date of Birth:

Place of Birth:

U.S. Citizen: Yes: No: Country:

If not U.S. Citizen, permanent resident? Yes: No:

ADDRESS INFORMATION
Street: Street: City: State: Zip:

Email Address:

Place of Employment:
Street: Street: City: State: Zip:

Phone w/area code:

COURSES SOUGHT
Department
May be filled in after advisement
Course Number	Course Title


EDUCATIONAL HISTORY
List in chronological order all colleges attended, starting with the most recent:
	Institution 1	Institution 2
Name:
City/State/Country
Finish Date (Month/Year)
Major
GPA

By submitting this form, I certify that the information provided is true and correct to the best of my knowledge. I understand that misrepresentation may be cause for denial of admission.

The Villanova University is committed to a policy of equal opportunity in education, employment, membership and contracts, and no differentiation will be made based on race, color, religion, sex, age, national origin, veterans status or the presence of a disability. The University will take affirmative action as required by federal or state law.