2025 NM App Creation Form

Steps in the Non-Matriculated Course Request Process:

Once the form is received, the Office of Admission will process the application and ensure all included information is accurate and up-to-date.
All requests may be subject to review by the Dean to determine eligibility for the course.

Please refer to the Course Catalog for the most accurate course listings and pre-requisite information.

Semester Start Dates:
Spring - January 21 | Spring II - March 17
Summer I/II - May 19 | Summer III - July 7
Fall - August 25 | Fall II - October 20

*Course registration for Spring begins November 21, and for Summer and Fall begins April 15.

If you have questions, contact the Office of Admission at neumann@neumann.edu // 610-558-5616

Name

Prefix

First (Given)

Middle

Last (Family)

Preferred First Name

Other Last Name(s) Used (if applicable)

Email Address and Phone Numbers

Current Email

Mobile Phone

Home Phone

Would you like to receive updates about events, your application, and other key information via text message?

Addresses

Permanent Address

Country

Street

City

Region

Postal Code

Mailing Address

Same as Permanent Address

Country

Street

City

Region

Postal Code

Biographical Information

Legal Sex

Birthdate

Academic Information

Academic Level

Select Term

Students intending to take Nursing Courses:

Are you currently an LPN or RN?

Nursing License Number

Issuing State of Nursing License

Students still in high school:

Are you a Diocesan Scholar?

High School Name

Employment

Current Employer

Please indicate previous institutions attended:

DeleteSchool _ID_
Institutions Attended
Name of Institution School CEEB Start Date Start Date End Date End Date Degree Earned/Expected

Add School

Please indicate all requested courses for the term:

DeleteCourse _ID_
Course Selection
Course Title Course Prefix Course Number Course Term

Add New Course

Registration and Billing Acknowledgement

Important Registration Note: Registration for course(s) means that all tuition costs and fees are the responsibility of the Student unless the course(s) are dropped by the published deadline dates.

Student Signature

Parent Initials (if student is under 18)