2023 Application for Non-Degree Admission

*IMPORTANT* If you have already completed an undergraduate degree, or will have a completed degree at the time of enrollment for any courses you plan to take at Butler, you will need to complete the Graduate Non-Degree Application instead of this application. This also includes the following Graduate Non-Degree Programs:

Applied Educational Neuroscience
Graduate Secondary Content Area + ENL Licensure Project
Licensed Mental Health Counselor

Thank you for considering Butler University. Please read this information to make sure you have submitted all required documents to complete your application.

Non-degree applicants who have completed high school but who have not attended a college or university must have an official high school transcript (or a copy of their satisfactory GED results) sent to the Office of Admission to complete the application.
Students who have attended a college or university must also submit an official transcript from the last school attended indicating a C (2.0/4.0) or higher cumulative GPA and eligibility to return.
A non-degree student may apply only 18 hours of credit earned as a non-degree student toward a degree program.

Please complete the following form to submit your official application.

First Name*

Preferred First Name

Middle Name

Last Name*

Email Address*

Home Phone Number*

Mobile Phone Number*

Birthdate*

Primary Citizenship*

Dual Citizenship

Are you a U.S. Permanent Resident?

Yes

Legal Sex*

Pronouns

Pronoun Set

Have you ever used any other name(s)?*

Yes

Other names used

Gender

My gender

Colleges and universities are asked by many groups, including the federal government, accrediting associations, college guides, and newspapers, to describe the ethnic/racial backgrounds of their students and employees. In order to respond to these requests, we ask you to answer the following two questions.

Are you Hispanic or Latino?

Yes

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:

Address

Mailing Address*

Country

Street

City

Region

Postal Code

Parent/Guardian Information

Parent/Guardian 1

Parent/Guardian 1 Relationship*

Parent/Guardian 1 First Name*

Parent/Guardian 1 Last Name*

Parent/Guardian 1 Status*

Parent/Guardian 1 Email Address*

Parent/Guardian 2

Parent/Guardian 2 Relationship*

Parent/Guardian 2 First Name*

Parent/Guardian 2 Last Name*

Parent/Guardian 2 Status*

Parent/Guardian 2 Email Address*

Application Information

Are you applying to Butler University as an exchange student?*

Yes

Are you applying as an exchange student through an ISEP exchange program?*

Yes

Field of Study/Major*

High School*

Are you currently attending or have you previously attended a college?*

Yes

Current or Previous College or University*

Current or Previous College or University (if applicable)

Application Status*

Application Term*

Please list the undergraduate level course or courses you intend to complete at Butler:*

Have you ever been found responsible for a disciplinary violation at any educational institution you have attended from the 9th grade (or the international equivalent) forward, whether related to academic misconduct or behavioral misconduct, that resulted in a disciplinary action? These actions could include, but are not limited to: probation, suspension, removal, dismissal, or expulsion from the institution.*

Yes

Please give the approximate date(s) of each incident, explain the circumstances and reflect on what you learned from the experience.*

Have you ever been adjudicated guilty or convicted of a misdemeanor or felony? 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.*

Yes

Please provide the details of your criminal conviction or adjudication and reflect on what you learned from the experience.*

Are you a current Butler employee or a Butler retiree?*

Are you currently the spouse or dependent of a Butler employee or Butler retiree?*

Name of Butler employee or retiree:*

Signature

Signing and submitting your application indicates that you agree to the certification and the other terms and conditions set forth above.

In place of your signature, please type your full legal name:*