Microcredential Registration Form

Are you a currently enrolled SUNY Old Westbury Student?

Yes

No

All non-degree applicants should be aware of the following conditions before submitting the application for non-matriculated enrollment:

All Non-Degree, Life Long Learner, High School Enrichment, Visiting Student, and Cross Registered students are considered non-matriculated and are not enrolled in a degree program.
Non-matriculated students are not enrolled in a degree program and therefore do not qualify for financial aid. Exceptions may be made for applicants pursuing state certification requirements for teaching. Please speak with the office of Financial Aid for more information.
Immunization: Students registering for more than one class are required to submit their documentation of immunization records (measles, mumps, rubella, and meningitis waiver) and proof of COVID vaccination. Students born before January 1st, 1957 are waived from this requirement.

Student Id # (700#)

Email Address

First Name

Last Name

Birthdate

Social Security Number

Gender

Are you a US Citizen?

Are You a Permanent Resident of the US?

Are you a veteran?

Have you ever been dismissed and/or suspended from a college for a disciplinary reason?

Mailing Address

Country

Street

City

Region

Postal Code

Phone Number

Mobile Phone Number

Hispanic/Latino:

Please select your background:

Race:

High School

School Address

Highest Level of Study

Most Recent School Attended

Microcredential:

Please choose the courses you want to register for. Please note that you must complete both courses to earn the microcredential.

Both PS3330 Professional Supervision06/12-07/13 ONLINE & PS3430 Marketing for Professionals 06/12-07/13 ONLINE

PS3330 Professional Supervision06/12-07/13 ONLINE

PS3430 Marketing for Professionals 06/12-07/13 ONLINE

Please choose the courses you want to register for. Please note that you must complete both courses to earn the microcredential.

Both AS3247 Intro to Video and TV MTWRF 01:00 pm-04:30 pm 05/22-06/09 CAMPUS & AS4852 ADVANCED VIDEO: DOCUMENTARY MTWR 11:40 am-02:10 pm 06/12-07/13 CAMPUS

AS3247 Intro to Video and TV MTWRF 01:00 pm-04:30 pm 05/22-06/09 CAMPUS

AS4852 ADVANCED VIDEO: DOCUMENTARY MTWR 11:40 am-02:10 pm 06/12-07/13 CAMPUS

By submitting this form you are registering for the courses associated with the microcredential you have listed above. Tuition and fees must be paid prior to the start of the course.