BYU Evening Classes

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(* required fields)

* Name:

* BYU ID or Social Security Number:

* Birth Date:

- - (mm-dd-yyyy)

* Age:

Male Female

Married Single

LDS Other

* Email Address:

Local Address:

Address:

City:

State:

Zip:

Permanent Address:

* Address:

* City:

* State:

* Zip:

* Evening Phone:

* Daytime Phone:

* Semester:

Fall Winter Spring Summer Spring & Summer

* Semester Year:

* Status:

Undergraduate Graduate (with bachelor's degree)

* I am applying for status:

As an Evening Classes Student
As an Audit Only Student
To Audit as a Senior Citizen

* Qualifications:

Are you at least twenty-three years old?
Are you a U.S. citizen? If not, you must be cleared before registering.
Does the Evening Classes Office have a current copy of your ecclesiastical endorsement?
Have you ever been denied admission to BYU day school? If so, please provide a letter of explanation below.
Has academic or disciplinary action been taken against you at any institution you have attended, including Brigham Young University? If yes, please provide a letter of explanation below.
Are you currently on probation with, disfellowshipped or excommunicated from, or voluntarily disaffiliated from The Church of Jesus Christ of Latter-day Saints? (Applicants are inadmissible until reinstated to full fellowship.)
Are you affiliated with a church or other religious group that advocates the current practice of plural marriage?
Are you currently on probation, parole, or under restriction with any court, or have you ever been convicted of a crime (other than a traffic violation)? If yes, please provide a letter of explanation below.

Please read and agree to the following statements:
	I have read and agree to abide by the refund policy as printed. (See Evening Classes home page; select Tuition and Fees under applicable semester/term)
	I understand that Evening Classes is a non degree-awarding program.
	Tuition and ecclesiastical endorsements are due seven calendar days before the first day of the semester or term.

Financial Assistance is available on the basis of financial need for undergraduate students enrolled through Evening Classes only. Click here for that form.

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