Audit Application

Name
Contact Information
Permanent Address
Permanent Address
Mailing Address (if different than Permanent Address)
Mailing Address (if different than Permanent Address)
Biographical Information
Birthdate
Birthdate
Permanent Resident
Permanent Resident
Race
Race
Hispanic
Hispanic
Coursework Academic Level 
By filling out this application to audit classes, you understand you will receive no credit for courses and no credits can be transferred to another institution. If you are looking to earn credit, please fill out our Visiting Student Enrollment Form instead.  Do not fill out this application.
Other Required Information
Have you ever been sanctioned for disciplinary misconduct at any higher education institution for academic or behavioral violations? For the purpose of this question, “sanctioned” includes but is not limited to: dismissal, removal, expulsion, probation, or suspension.
Have you ever been sanctioned for disciplinary misconduct at any higher education institution for academic or behavioral violations? For the purpose of this question, “sanctioned” includes but is not limited to: dismissal, removal, expulsion, probation, or suspension.
Have you ever been charged or convicted of a felony, misdemeanor, or any other crime?
Have you ever been charged or convicted of a felony, misdemeanor, or any other crime?
Signature
Conditions of Auditing
  • Registration as an auditing student is on a space-available basis and not all courses are open to auditing students.
  • A maximum of twelve credits taken as an auditing student and cannot be applied towards a degree at the University of Bridgeport.
  • Financial aid is not available to auditing students.
  • Enrollment as an auditing student does not guarantee or imply admission to the University.
  • No credit will be given for courses and there will be no credits to transfer to another institution.
Signature

My signature below indicates that all the information contained in this enrollment form is complete and correct.  I am aware that any falsification in the completion of this enrollment form, either by error or omission, may result in my being denied enrollment by the University of Bridgeport or may result in disciplinary action.
Signature Date
Signature Date

126 Park Avenue, Bridgeport, CT 06604 USA

1-800-EXCEL-UB (392-3582)

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