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Course Registration Request
Page 1 of 3
Before you register, we need to learn a little about you.
UMass Boston Student Status
Please select...
Guest Student (non-matriculated)
Current Student (matriculated)
No need to complete this form!
Current students register through
WISER
.
Contact Information
First Name
Last Name
Email
Confirm Email
Phone
Course Selection
Course Title
Catalog Number
Class #
A 4- or 5-digit number listed on the course details page
Some courses require simultaneous lab and/or discussion enrollment. Add those to your request as additional courses.
Course #
Cost:
Time:
Semester
Add Another Course?
Course Selection 2
Course Title
Class #
A 4- or 5-digit number listed on the course details page
View course listings
(opens in a new window)
Course #
Cost:
Time:
Semester
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Course Selection 3
Course Title
Class #
A 4- or 5-digit number listed on the course details page
View course listings
(opens in a new window)
Course #
Cost:
Time:
Semester
Add Another Course?
Course Selection 4
Course Title
Class #
A 4- or 5-digit number listed on the course details page
View course listings
(opens in a new window)
Course #
Cost:
Time:
Semester
Add Another Course?
Course Selection 5
Course Title
Class #
A 4- or 5-digit number listed on the course details page
View course listings
(opens in a new window)
Course #
Cost:
Time:
Semester
Add Another Course?
Course Selection 6
Course Title
Class #
A 4- or 5-digit number listed on the course details page
View course listings
(opens in a new window)
Course #
Cost:
Time:
Semester
Add Another Course?
Course Selection 7
Course Title
Class Number
A 4- or 5-digit number listed on the course details page
View course listings
(opens in a new window)
Need to add even more courses? You'll be able to do so once you're set up in our system.
Course #
Cost:
Time:
Semester
Mailing Address
Address
Suite/Apt#
City
State
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Congo, Republic of (Brazzaville)
Cook Islands
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Korea, Republic of (South Korea)
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Latvia
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Palestinian territories
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Paraguay
Peru
Philippines
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Poland
Portugal
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Qatar
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Romania
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Rwanda
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Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
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Senegal
Serbia
Seychelles
Sierra Leone
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Slovakia (Slovak Republic)
Slovenia
Solomon Islands
Somalia
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South Sudan
Spain
Sri Lanka
Sudan
Suriname
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Sweden
Switzerland
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Tajikistan
Tanzania; officially the United Republic of Tanzania
Thailand
Tibet
Timor-Leste (East Timor)
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
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Ukraine
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United Kingdom
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Vanuatu
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Venezuela
Vietnam
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Virgin Islands (U.S.)
Wallis and Futuna Islands
Western Sahara
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Zimbabwe
Page 2 of 3
Now we need a little more info to comply with state guidelines. This info will be stored securely and kept completely private.
Background Information
Date of Birth
Gender Identity
Please select...
Woman
Man
Non-Binary
Other/Prefer Not to Say
Country of Citizenship
Please select...
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Democratic Republic of the Congo (Kinshasa)
Congo, Republic of (Brazzaville)
Cook Islands
Costa Rica
Côte D'ivoire (Ivory Coast)
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor (Timor-Leste)
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Rep. (North Korea)
Korea, Republic of (South Korea)
Kosovo
Kuwait
Kyrgyzstan
Lao, People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federal States of
Moldova, Republic of
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar, Burma
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian territories
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Island
Poland
Portugal
Puerto Rico
Qatar
Reunion Island
Romania
Russian Federation
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia (Slovak Republic)
Slovenia
Solomon Islands
Somalia
South Africa
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Swaziland (Eswatini)
Sweden
Switzerland
Syria, Syrian Arab Republic
Taiwan (Republic of China)
Tajikistan
Tanzania; officially the United Republic of Tanzania
Thailand
Tibet
Timor-Leste (East Timor)
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City State (Holy See)
Venezuela
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna Islands
Western Sahara
Yemen
Zambia
Zimbabwe
Social Security Number (no dashes or spaces)
If you don't have a Social Security Number, enter nine zeros (000000000)
If you're a current, matriculated student at a school other than UMass Boston, please name your school:
Visa Type (International Students)
Are you a Veteran?
Yes
No
Page 3 of 3
Almost done! These are the last few compliance questions. This info will be stored securely and kept completely private.
Massachusetts Residency Status
Tuition rates depend in part on whether you're a Massachusetts Resident. To determine your residency status, see the
Residency Status Policy
.
I am...
Age 18 or older
AND
a U.S. citizen/green card holder/holder of any other eligible immigrant status,
AND
have resided in Massachusetts for at least the past 12 months.
Under age 18
AND
my parent/legal guardian has resided in Massachusetts for at least the past 12 months.
Married
AND
my spouse has resided in Massachusetts for at least the past 12 months.
Not a Massachusetts resident.
Disciplinary Information
Have you ever been found responsible for a disciplinary violation — academic or behavioral misconduct — at an educational institution you attended, resulting in probation, suspension, removal, dismissal, or expulsion?
Yes
No
Please attach a document with the approximate date of each incident, which explains the circumstances and reflects on what you learned from the experience.
Have you ever been found guilty of a misdemeanor, felony, or other crime? (You are not required to answer Yes if the criminal adjudication or conviction has been expunged, sealed, annulled, pardoned, destroyed, or otherwise ordered by a court to be kept confidential.)
Yes
No
Please attach a document with the approximate date of each incident, which explains the circumstances and reflects on what you learned from the experience.
I understand that all applicable service fees will be added to the course fee total, and that tuition rates are pending approval and may change prior to the first day of class. *
I understand that I am required to set-up and access my WISER account and read & accept the
Financial Responsibility Agreement (FRA)
in order to be registered for classes as a guest student. *
Optional - Please provide us with any additional information which may help complete your request to register:
Questions about this form? Contact
guestinfo@umb.edu
.