Non-Degree Student Registration Form

Name*

First Last

Email*

Phone number*

What type of phone:*

Cell Phone
Landline

Date of Birth:*

BU ID: (if applicable)

Please check the appropriate box:*

I am a new non-degree student at BUSPH
I am a returning non-degree student at BUSPH

Gender*

Male
Female

How would you describe your race or ethnicity? Check all that apply.*

African American or Black
American Indian or Alaskan Native
Asian
Native Hawaiian or Pacific Islander
White
Hispanic or Latino
Other
Prefer not to answer

*If you selected ‘Other’ please specify your status:

Are you a U.S. Citizen or Permanent Resident of U.S.*

Yes
No
Other

*Students who are not US citizens or US permanent residents must contact the International Students and Scholars Office at Boston University.

*If you selected ‘Other’ please specify your status:

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Emergency Contact*

First Last

Emergency Contact Phone*

Emergency Contact Relationship to You*

Current BU Employees

If you are a current BU Employee wanting to take a course at SPH. Please note that currently online courses are not covered by employee tuition remission.

Please check the appropriate box:*

I am a prospective applicant for the BU MPH
I am interested in taking BU MPH core courses
I am a prospective applicant for an MS or Doctoral Program
I am taking courses for job or personal development

Check all boxes that apply:

I am a current BU employee
I am a current BU student at another BU school
I applied to a BU program in the past
I applied to BUSPH for Fall 2025
I have been accepted to BUSPH for Fall 2025

Last Degree Awarded:*

Major:*

School/University:*

I am interested in taking courses at SPH because:*

Course Number*

Please enter the Course Number and Section for which you wish to be registered. (Ex. SPH BS723 A1)

Course Title*

Please enter the Course Title (Ex. Introduction to Statistical Computing)

The course(s) I have chosen have academic pre-requisites:*

Yes
No

Pre-requisites and Permissions: Students must meet published pre-requisites or have permission to register for a course before their non-degree application can be processed.

If yes

I have completed these pre-requisites at BUSPH or another school
I have not completed the pre-requisites
Not Applicable

The course(s) I have chosen require permission from the professor in order to be enrolled:*

Yes
No

For courses that require faculty permission (due to lack of pre-requisites) non-degree students must email the professor directly and request that they send an email to the SPH Registrar's Office, sphregr@bu.edu, giving their permission. Non-degree application forms can be submitted prior to receiving professor approval, but will not be processed until approval is received.

Affirmation Statement*

* General Affirmation: I affirm that I have read and understood the statement below.

I certify that all statements on this application are correct and complete, including a list of all schools attended. I understand that withholding pertinent information requested on this application or giving false information constitutes grounds for immediate withdrawal of my application from further consideration and cancellation of my registration. Should I falsify information I will be withdrawn from my course(s) and will be required to make the full tuition payment according to the Boston University Withdrawal Tuition Refund Policy. By submitting this application you consent to the associated charges that will be applied to your account based on this registration. If you withdraw from the course on or after the start of the semester (5/19/25), you will be subject to the Boston University Withdrawal Tuition Refund Policy: http://www.bu.edu/reg/calendars/refund/. Non-attendance does not constitute withdrawal.

Type your full legal name:*

Today's Date*

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Non-Degree Student Registration Form.

Non-Degree Student Registration Summer 2025

Current BU Employees