2025 Application for Non-Degree Admission

DeleteParent/Guardian _ID_
Parent/Legal Guardian Information
Parent/Guardian Relationship* Parent/Guardian First Name* Parent/Guardian Last Name* Parent/Guardian Status* Parent/Guardian Email Address*

Add Parent/Guardian

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*

High School Graduation Date

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.*

Within the last seven years after the age of 14, have you ever been convicted, or plead guilty or entered a plea of nolo contendere to a criminal offense involving violence, physical force or the threat of physical force, a sexual offense, stalking, possession of a weapon, kidnapping, arson or any offense which caused harm to another person? You should answer “no” if your conviction or plea has been sealed, expunged, or overturned or if you were arrested but not charged or convicted.*

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:*