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Continuing Education Undergrad Readmission Application 2024-2025
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Round
CUBO
CEGR 25-26
CTNG 25-26
CUBO 25-26
HSCN 25-26
NCGN 25-26
NCIE 25-26
NOND 25-26
RADM 25-26
CEGR 24-25
CTNG 24-25
HSCN 24-25
NCGN 24-25
NCIE 24-25
NOND 24-25
RADM 24-25
CEGR 23-24
CTNG 23-24
HSCN 23-24
NCGN 23-24
NCIE 23-24
NOND 23-24
RADM 23-24
CEGR 22-23
CTNG 22-23
HSCN 22-23
NCGN 22-23
NCIE 22-23
NOND 22-23
RADM 22-23
CE Grad 21
CTNG 21
EdUSA 21
HSCN 21
NCGN 21
NCIE
NOND 21
RADM 21
CE Grad 20
EdUSA 20
HSCN 20
Non-Credit Exec Ed 20
Non-Credit IEC 20
NOND 20
Nondegree Grad Certificate 20
Post Bacc PM 20
CE Grad 19
EdUSA 19
HSCN 19
MSOL 19
Non-Credit IEC 19
NOND 19
Nondegree Grad Certificate 19
Post Bacc PM 19
CE Grad 18
EdUSA 18
HSCN 18
MSOL 18
NDGR
Non-Credit IEC 18
NOND 18
PBPM 18
Fall
HSCN 17
MSOL 17
NDGR
NOND 17
Spring
Generate PIN
Yes
No
Always Create
Yes
No
App Submitted
Yes
No
Please note:
Information entered into the form fields below will not be saved until the form is submitted. If you refresh your screen before submitting the completed form, all previously entered information will be deleted.
All fields marked with an * are required.
If you completed coursework at another institution after you last attended CU Boulder, we recommend that you have an unofficial transcript from the other institution available for uploading as you complete this application.
First Name*
Preferred First Name
Middle Name
Last Name*
Previous names that might appear on your transcripts or credentials
Email Address*
Student ID Number
Phone Number
Mailing Address*
Mailing Address*
Country
Street
City
Region
Postal Code
Birthdate*
Birthdate*
January
February
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1915
1914
1913
1912
1911
1910
1909
1908
1907
1906
1905
1904
1903
1902
1901
1900
Gender
Female
Male
US Armed Forces Status*
If you have no current or past affiliation with the US Armed Forces, please select "No relationship".
No relationship
Current Dependent
Active Reserve
National Guard
On Active Duty U.S. Military
Previously Served
Veteran of U.S. armed forces
What is your country of citizenship?*
United States
Afghanistan
Aland Islands
Albania
Algeria
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Ashmore and Cartier Islands
Australia
Austria
Azerbaijan
Bahamas, The
Bahrain
Bangladesh
Barbados
Bassas Da India
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius, and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Clipperton Island
Cocos Islands (Keeling Islands)
Colombia
Comoros
Congo (Brazzaville)
Congo (Kinshasa)
Cook Islands
Coral Sea Islands
Costa Rica
Cote D'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Europa Island
Falkland Islands (Islas Malvinas)
Faroe Islands
Federated States of Micronesia
Fiji
Finland
Foreign/Unknown
France
French Guiana
French Polynesia
French Southern and Antarctic Lands
Gabon
Gambia, The
Gaza Strip
Georgia
Germany
Ghana
Gibraltar
Glorioso Islands
Greece
Greenland
Grenada
Guadeloupe
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong S.A.R.
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Jan Mayen
Japan
Jersey
Jordan
Juan De Nova Island
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau S.A.R.
Macedonia, Republic of North
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Man, Isle of
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Norway
Oman
Pakistan
Palau, the Pacific Islands of
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Qatar
Reunion
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Spratly Islands
Sri Lanka
Sudan
Suriname
Svalbard
Svalbard and Jan Mayen
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tromelin Island
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Wallis and Futuna Islands
Western Sahara
Yemen
Yugoslavia
Zambia
Zimbabwe
Are you a U.S. Permanent Resident?*
Are you a U.S. Permanent Resident?*
Yes
No
Alien Registration Number
Alien Registration Issue Date
Alien Registration Issue Date
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
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29
30
31
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Country of birth*
Afghanistan
Aland Islands
Albania
Algeria
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Ashmore and Cartier Islands
Australia
Austria
Azerbaijan
Bahamas, The
Bahrain
Bangladesh
Barbados
Bassas Da India
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius, and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Clipperton Island
Cocos Islands (Keeling Islands)
Colombia
Comoros
Congo (Brazzaville)
Congo (Kinshasa)
Cook Islands
Coral Sea Islands
Costa Rica
Cote D'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Europa Island
Falkland Islands (Islas Malvinas)
Faroe Islands
Federated States of Micronesia
Fiji
Finland
France
French Guiana
French Polynesia
French Southern and Antarctic Lands
Gabon
Gambia, The
Georgia
Germany
Ghana
Gibraltar
Glorioso Islands
Greece
Greenland
Grenada
Guadeloupe
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong S.A.R.
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Jan Mayen
Japan
Jersey
Jordan
Juan De Nova Island
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau S.A.R.
Macedonia, Republic of North
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Man, Isle of
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Norway
Oman
Pakistan
Palau, the Pacific Islands of
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Qatar
Reunion
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Spratly Islands
Sri Lanka
Sudan
Suriname
Svalbard
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tromelin Island
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Wallis and Futuna Islands
Western Sahara
Yemen
Zambia
Zimbabwe
City of birth*
Will you be returning to CU on a valid visa? (Note: If you will be completing your degree from outside the United States, please select "No" and choose the visa type "99" below. If you are unsure of your visa or immigration status, please select "No" and choose the "OTH" visa type below.)
Will you be returning to CU on a valid visa? (Note: If you will be completing your degree from outside the United States, please select "No" and choose the visa type "99" below. If you are unsure of your visa or immigration status, please select "No" and choose the "OTH" visa type below.)
Yes
No
Specify the visa type you currently have or expect to obtain following the instructions below.
If you already have a US Visa, complete all fields below.
If you are completing CU online coursework from overseas, please choose "99 - Intl Student Not In US" as your visa type and leave the remaining fields blank.
If you are unsure of your visa type or immigration status, please choose "OTH - Other" as your visa type and leave the remaining fields blank.
Visa Type
88-Out of Status
99-Intl Student Not In US
A-1-Diplomatic
A-2-Govt Official/Emp or Immed Dep
A-3-Diplomatic Staff
AP-Visa Petitioner
AS-Asylum Seeker
B-1-Temporary Visitor, Business
B-2-Temporary Visitor, Pleasure
C-U. S. Citizen
C-1-Alien In Transit
C-2-Alien in Transit to UN Dist HQ
C-3-Govt Official/Staff in Transit
D-1-Crew Members
E-1-Treaty Trader/Spouse, Child
E-2-Treaty Investor/Spouse, Child
E-3-Australian/Specialty Occ
E3D-Dependent of E3 Visa Holder
ED-Dependent of E-3 Visa Holder
F-1-Student
F-2-Dependent of Student
FCF-F Student from non-CU Inst
G-1-Prin Rep-Intl Org/Staff, Dep
G-2-Other Rep-Intl Org/Staff Dep
G-3-Rep Non-Rec Gov to Int Org&Dep
G-4-Officer Intl Org / Dependent
G-5-Staff/Dep of G1, G2, G3, G4
H-1-Temp Worker
H-2-Temp Worker Skilled/Unskilled
H-3-Trainee
H-4-Dependent of H1, H2, H3
I-Rep of Foreign Media
J-1-Exchange Visitor
J-2-Dependent of Exchange Visitor
JCJ-J Student from non-CU Inst
JTJ-J Student, 3rd Party Sponsored
K-K
K-1-Fiancee of US Citizen
K-2-Child of Fiancee of US Citizen
K-3-LifeAct - Spouse of US Citizen
K-4-LifeAct Child of K3
L-1-Intracompany Transferee
L-2-Dependent of L1
M-1-Student in a Technical Program
M-2-Spouse or Child of M1
N/A-N/A
NTO-N. Atlantic Treaty Org - NATO
O-1-Temp Worker-Etraordinary Abil
O-2-Assistant to an O1
O-3-Spouse or Child of O1
OTH-Other
P-1-Athlete/Entertainment Groups
P-2-Artist/Entertainer
P-3-Unique Artist/Entertainer
P-4-Spouse or Child fo P1, P2, P3
PL-Parolee
PR-Permanent Resident
PRP-PR/I-485 Pending
Q-1-Intl Cultural Exchange
Q-3-Spouse or Child of Q1
R-1-Religious Worker
R-2-Spouse or Child of R1
RF-Refugee
S-Witness or Informant
SJ-J Scholar Enrolled as Student
T-Victim - Trafficking in People
TD-Spouse or Child of TN
TN1-NAFTA Treaty Professional
TP-Temporary Protected Status
U-Victim of Certain Crimes
V-Dep of Legal Perm Resident
VIS-I
Visa Waiver
Issue Date
Issue Date
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
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9
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22
23
24
25
26
27
28
29
30
31
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Expiration Date
Expiration Date
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
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5
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2021
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2026
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2031
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2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Please select the college, school or program you are returning to. To see a list of programs and majors, visit the campus academics
website
.*
College of Arts & Sciences
College of Engineering & Applied Science
College of Media, Communication & Information
Leeds School of Business
Program in Environmental Design
Program in Exploratory Studies
School of Education
Please select the major you will be completing*
Accounting
Advertising, Public Relations & Design
Aerospace Engineering Sciences
Anthropology
Applied Mathematics
Architectural Engineering
Architecture
Art History
Art Practices
Arts and Sciences - Open Option (Undecided)
Asian Studies
Astronomy
Atmospheric & Oceanic Sciences
Biochemistry
Biological Sciences-Ecology & Evolutionary Biology
Biological Sciences-Integrative Physiology
Biological Sciences-Molecular, Cellular, & Developmental Biology
Biomedical Engineering
Business - Open Option (Undecided)
Chemical & Biological Engineering
Chemical Engineering
Chemistry
Chinese
Cinema Studies and Moving Image Arts
Civil Engineering
Classics
Communication
Communication*
Computer Science (Arts & Sciences, BA)
Computer Science (Engineering, BA)
Computer Science (Engineering, BS)
Creative Technology & Design
Dance
Distributed Studies
Economics
Electrical & Computer Engineering
Electrical Engineering
Elementary Education
Engineering - Open Option (Undecided)
Engineering Physics
Engineering Plus
English
Environmental Design - Open Option (Undecided)
Environmental Engineering
Environmental Products of Design
Environmental Studies
Ethnic Studies
Exploratory Studies/University-wide Open Option (Undecided)
Finance
French
Geography
Geology
German Studies
History
Humanities
Information Science
International Affairs
Italian
Japanese
Jewish Studies
Journalism
Landscape Architecture
Leadership/Community Engagement
Linguistics
Management & Entrepreneurship
Marketing
Mathematics
Mechanical Engineering
Media Production
Media Studies
Neuroscience
Philosophy
Physics
Political Science
Psychology
Real Estate
Religious Studies
Russian Studies
Sociology
Spanish
Speech, Language, & Hearing Sciences
Statistics and Data Science
Sustainable Planning & Design
Theatre
Women's Studies
Select the term you wish to start*
Spring 2025
Summer 2025
Have you attended any other colleges since your last attendance at CU Boulder?*
Have you attended any other colleges since your last attendance at CU Boulder?*
Yes
No
Name of School (Start typing the name of your school to pull up a list, then find your school on that list. If you cannot locate your school on the suggested list, please indicate this below):
CEEB
Level of Study
Undergraduate
Were you able to find your school in the list above?
Were you able to find your school in the list above?
Yes
No
Please enter the name of your school here:
Enter your other school's city, state, country (if not USA), and postal code:
Dates you attended this school
From:
Dates you attended this school
From:
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
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5
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1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
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2044
2045
To:
To:
January
February
March
April
May
June
July
August
September
October
November
December
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1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
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2029
2030
2031
2032
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2034
2035
2036
2037
2038
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2045
Please upload an unofficial scanned copy or digital facsimile of your transcript from this institution. If possible, the transcript you upload should show both your name and the name of the institution. If you are unable to upload your transcript here, you may email it to
cerecords@colorado.edu
.
Your application for readmission will not be reviewed until all transcripts have been received.
Do you need to add another school?
Do you need to add another school?
Yes
No
Name of School (Start typing the name of your school to pull up a list, then find your school on that list. If you cannot locate your school on the suggested list, please indicate this below):
CEEB
Level of Study
Undergraduate
Were you able to find your school in the list above?
Were you able to find your school in the list above?
Yes
No
Please enter the name of your school here:
Enter your other school's city, state, country (if not USA), and postal code:
Dates you attended this school
From:
Dates you attended this school
From:
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
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2027
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2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
To:
To:
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
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15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Please upload an unofficial scanned copy or digital facsimile of your transcript from this institution. If possible, the transcript you upload should show both your name and the name of the institution. If you are unable to upload your transcript here, you may email it to
cerecords@colorado.edu
.
Your application for readmission will not be reviewed until all transcripts have been received.
Do you need to add another school?
Do you need to add another school?
Yes
No
Name of School (Start typing the name of your school to pull up a list, then find your school on that list. If you cannot locate your school on the suggested list, please indicate this below):
CEEB
Level of Study
Undergraduate
Were you able to find your school in the list above?
Were you able to find your school in the list above?
Yes
No
Please enter the name of your school here:
Enter your other school's city, state, country (if not USA), and postal code:
Dates you attended this school
From:
Dates you attended this school
From:
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
To:
To:
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Please upload an unofficial scanned copy or digital facsimile of your transcript from this institution. If possible, the transcript you upload should show both your name and the name of the institution. If you are unable to upload your transcript here, you may email it to
cerecords@colorado.edu
.
Your application for readmission will not be reviewed until all transcripts have been received.
Tuition Classification
Tuition classification is governed by Colorado state law (CO Revised Statutes
§
23-7-101, et.seq.) and applies to all public institutions of higher education in Colorado. In-state tuition classification eligibility requires one year of Colorado domicile (legal residence). Exceptions to the domicile requirement are provided for specific populations as provided by law. Refer to the
tuition classification website
for further information about domicile exceptions and Colorado resident/nonresident regulations and requirements.
Do you believe you may qualify for in-state tuition?*
Do you believe you may qualify for in-state tuition?*
Yes
No
Will you be at least 23 years old by the first day of the term in which you are enrolling for classes?*
Will you be at least 23 years old by the first day of the term in which you are enrolling for classes?*
Yes, I will be at least 23 years old by the first day of the term.
No, I will not be at least 23 years old by the first day of the term.
Did you earn a Colorado high school equivalency or graduate from a Colorado high school?*
Did you earn a Colorado high school equivalency or graduate from a Colorado high school?*
Yes
No, my high school diploma or equivalency was earned outside of Colorado
Do you have a Colorado driver's license or official Colorado state ID?*
Do you have a Colorado driver's license or official Colorado state ID?*
Yes
No
Have you lived continuously (remained physically present) in Colorado for the past two years?*
Have you lived continuously (remained physically present) in Colorado for the past two years?*
Yes
No
Have you filed resident personal income taxes in Colorado for at least the past two consecutive years?*
Have you filed resident personal income taxes in Colorado for at least the past two consecutive years?*
Yes
No
Are you a U.S. citizen, U.S. permanent resident, or undocumented/DACA applicant?*
Are you a U.S. citizen, U.S. permanent resident, or undocumented/DACA applicant?*
Yes
No
Dates of continuous physical presence in Colorado:
From:*
Dates of continuous physical presence in Colorado:
From:*
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
To:*
To:*
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
Dates of absence from Colorado of more than 30 days within the past year, if applicable:
From:
Dates of absence from Colorado of more than 30 days within the past year, if applicable:
From:
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
To:
To:
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Please describe the circumstances of any such absence.
Dates of employment in Colorado:
From:*
Dates of employment in Colorado:
From:*
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
To:*
To:*
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
List the years for which personal resident Colorado income tax returns were filed:*
Are you registered to vote in the United States?*
Are you registered to vote in the United States?*
Yes
No
State of Voter Registration*
Alabama
Alaska
American Samoa
APO/FPO (AA)
APO/FPO (AE)
APO/FPO (AP)
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Federated States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Mariana Islands
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands, U.S.
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Date of voter registration*
Date of voter registration*
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
Have you operated a motor vehicle in the past two years in Colorado?*
Have you operated a motor vehicle in the past two years in Colorado?*
Yes
No
Do you own, or have available for personal use, a motor vehicle?*
Do you own, or have available for personal use, a motor vehicle?*
Yes
No
State of Vehicle Registration*
Alabama
Alaska
American Samoa
APO/FPO (AA)
APO/FPO (AE)
APO/FPO (AP)
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Federated States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Mariana Islands
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands, U.S.
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Date of current Colorado motor vehicle registration*
Date of current Colorado motor vehicle registration*
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
Is this a renewal of a previously issued vehicle registration?*
Is this a renewal of a previously issued vehicle registration?*
Yes
No
Do you have a current driver's license or state-issued ID?*
Do you have a current driver's license or state-issued ID?*
Yes
No
State of Driver's License*
Alabama
Alaska
American Samoa
APO/FPO (AA)
APO/FPO (AE)
APO/FPO (AP)
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Federated States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Mariana Islands
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands, U.S.
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Date of issue*
Date of issue*
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
If Colorado, list driver's license or ID number*
Is this a renewal of a previously issued Colorado driver's license or ID?*
Is this a renewal of a previously issued Colorado driver's license or ID?*
Yes
No
Do you own residential property in Colorado that is your primary residence?*
Do you own residential property in Colorado that is your primary residence?*
Yes
No
Date purchased*
Date purchased*
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Do you maintain a home in another state?*
Do you maintain a home in another state?*
Yes
No
Have you ever served in the United States military?*
Have you ever served in the United States military?*
Yes
No
List dates of service:
From:*
List dates of service:
From:*
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
To:*
To:*
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
Dates stationed in Colorado, if any:
From:
Dates stationed in Colorado, if any:
From:
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
To:
To:
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
Have you paid in-state tuition in a state other than Colorado by claiming residence in that state during the past two years?*
Have you paid in-state tuition in a state other than Colorado by claiming residence in that state during the past two years?*
Yes
No
If yes, list colleges at which you paid in-state tuition:
Provide any additional information regarding unusual circumstances you would like to have considered.
Did you enter a Colorado college or university immediately after completing high school (e.g. you graduated in May/June and enrolled at a Colorado institution in August of the same year)?*
Did you enter a Colorado college or university immediately after completing high school (e.g. you graduated in May/June and enrolled at a Colorado institution in August of the same year)?*
Yes
No
Have you lived continuously (remained physically present) in Colorado and maintained a Colorado I.D. since you completed high school?*
Have you lived continuously (remained physically present) in Colorado and maintained a Colorado I.D. since you completed high school?*
Yes
No
Did you attend a Colorado high school for at least three complete years?*
Did you attend a Colorado high school for at least three complete years?*
Yes
No
Did you graduate from a Colorado public or private high school?*
Did you graduate from a Colorado public or private high school?*
Yes
No
Are you a U.S. citizen, U.S. permanent resident, or undocumented/DACA applicant?*
Are you a U.S. citizen, U.S. permanent resident, or undocumented/DACA applicant?*
Yes
No
Because you will not be 23 by the first day of class of the term for which you are applying, you must provide parent or guardian information below. Your residency will be based upon your parent's domicile (residency).
Possible exceptions include emancipated minors, military, married applicants, etc. If you are under 23 and hope to qualify for in-state tuition classification based on your personal domicile, please see the
Tuition Classification website
to determine whether you should fill out the below information using your own information.
Name of parent/guardian:*
Dates of parental/guardian continuous physical presence in Colorado:
From:*
Dates of parental/guardian continuous physical presence in Colorado:
From:*
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
To:*
To:*
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
Dates of parental/guardian absences from Colorado of more than 30 days within the past year, if applicable:
From:
Dates of parental/guardian absences from Colorado of more than 30 days within the past year, if applicable:
From:
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
To:
To:
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
Please describe the circumstances of any such absence.
Dates of parental/guardian employment in Colorado:
From:*
Dates of parental/guardian employment in Colorado:
From:*
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
To:*
To:*
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
List the years for which parent/guardian personal resident Colorado income tax returns were filed:*
Is your parent/guardian registered to vote in the United States?*
Is your parent/guardian registered to vote in the United States?*
Yes
No
State of parent/guardian voter registration:*
Alabama
Alaska
American Samoa
APO/FPO (AA)
APO/FPO (AE)
APO/FPO (AP)
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Federated States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Mariana Islands
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands, U.S.
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Date of parent/guardian voter registration:*
Date of parent/guardian voter registration:*
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
Has your parent/guardian operated a motor vehicle in the past two years in Colorado?*
Has your parent/guardian operated a motor vehicle in the past two years in Colorado?*
Yes
No
Does your parent/guardian own, or have available for their personal use, a motor vehicle?*
Does your parent/guardian own, or have available for their personal use, a motor vehicle?*
Yes
No
State in which vehicle is registered:*
Alabama
Alaska
American Samoa
APO/FPO (AA)
APO/FPO (AE)
APO/FPO (AP)
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Federated States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Mariana Islands
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands, U.S.
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Date of current motor vehicle registration:*
Date of current motor vehicle registration:*
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2025
2024
2023
2022
2021
2020
2019
2018
Is this a renewal of a previously issued vehicle registration?*
Is this a renewal of a previously issued vehicle registration?*
Yes
No
Does your parent/guardian have a current driver's license or state-issued ID?*
Does your parent/guardian have a current driver's license or state-issued ID?*
Yes
No
State of Issue:*
Alabama
Alaska
American Samoa
APO/FPO (AA)
APO/FPO (AE)
APO/FPO (AP)
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Federated States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Mariana Islands
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands, U.S.
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Date of issue:*
Date of issue:*
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
If Colorado, list driver's license or ID number:*
Is this a renewal of a previously issued Colorado driver's license or ID?*
Is this a renewal of a previously issued Colorado driver's license or ID?*
Yes
No
Does your parent/guardian own residential property in Colorado that is your primary residence?*
Does your parent/guardian own residential property in Colorado that is your primary residence?*
Yes
No
Date purchased:*
Date purchased:*
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
Address, if different from your permanent address:
Address, if different from your permanent address:
Country
Street
City
Region
Postal Code
Does your parent/guardian maintain a home in another state?*
Does your parent/guardian maintain a home in another state?*
Yes
No
Has your parent/guardian ever served in the United States military?*
Has your parent/guardian ever served in the United States military?*
Yes
No
If so, list dates of service:
From:*
If so, list dates of service:
From:*
January
February
March
April
May
June
July
August
September
October
November
December
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
To:*
To:*
January
February
March
April
May
June
July
August
September
October
November
December
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
Dates stationed in Colorado, if any:
From:
Dates stationed in Colorado, if any:
From:
January
February
March
April
May
June
July
August
September
October
November
December
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
To:
To:
January
February
March
April
May
June
July
August
September
October
November
December
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
Has your parent/guardian paid in-state tuition for you in a state other than Colorado by claiming residence in that state for you during the past two years?*
Has your parent/guardian paid in-state tuition for you in a state other than Colorado by claiming residence in that state for you during the past two years?*
Yes
No
If yes, please list institutions:*
Provide any additional information regarding unusual circumstances you would like to have considered.
Disciplinary History
Are you currently under any pending investigations, facing allegations OR been found responsible for a disciplinary violation at any post-secondary institution you have attended for stalking, sexual assault and/or domestic violence?*
Are you currently under any pending investigations, facing allegations OR been found responsible for a disciplinary violation at any post-secondary institution you have attended for stalking, sexual assault and/or domestic violence?*
Yes
No
Are you currently under any pending investigations, facing allegations, OR been found responsible for an academic misconduct violation at any post-secondary institution you have attended? You only need to report findings of responsibility for academic misconduct if your educational record reflects that you were assigned probation, suspension, removal, dismissal and/or expulsion from the institution.*
Are you currently under any pending investigations, facing allegations, OR been found responsible for an academic misconduct violation at any post-secondary institution you have attended? You only need to report findings of responsibility for academic misconduct if your educational record reflects that you were assigned probation, suspension, removal, dismissal and/or expulsion from the institution.*
Yes
No
Have you been found responsible for a disciplinary violation at any post-secondary educational institution you have attended for behavioral misconduct that resulted in a disciplinary action including probation, suspension, removal, dismissal and/or expulsion from the institution?*
Have you been found responsible for a disciplinary violation at any post-secondary educational institution you have attended for behavioral misconduct that resulted in a disciplinary action including probation, suspension, removal, dismissal and/or expulsion from the institution?*
Yes
No
Detailed explanation of incident(s) and outcome (Required)
Include information about what you have done since the incident(s), lessons learned, etc. Also include any disciplinary charges not mentioned above.
Criminal History
You must answer 'yes' to these questions if the conviction was for any type (e.g. simple or aggravated), degree (e.g. first, second, or third), and regardless of whether it was a misdemeanor or felony, enhancement or stand-alone convictions, and where the prosecuting jurisdiction is/was located. You are not required to answer 'yes' to these questions if the criminal adjudication or conviction has been expunged, sealed, annulled, destroyed, erased or otherwise required by law or ordered by a court to be kept confidential. You as the applicant are responsible for providing accurate and thoroughly responsive disclosures to CU Boulder. Failure to do so will jeopardize your admission. Please visit our
conduct review page
for more information about what crimes should be disclosed, why this information is required, and how it is used in the admission process.
1. Do you have any pending criminal charges?*
1. Do you have any pending criminal charges?*
Yes
No
2. Have you been adjudicated guilty or convicted of assault, kidnapping, voluntary manslaughter or murder within five years of submitting your application for admission?*
2. Have you been adjudicated guilty or convicted of assault, kidnapping, voluntary manslaughter or murder within five years of submitting your application for admission?*
Yes
No
3. Have you ever been adjudicated guilty or convicted of stalking, sexual assault and/or domestic violence?*
3. Have you ever been adjudicated guilty or convicted of stalking, sexual assault and/or domestic violence?*
Yes
No
4. Are you currently required to register as a sex offender?
4. Are you currently required to register as a sex offender?
Yes
No
5. Do you have any pending charges OR have you ever been adjudicated guilty or convicted of a misdemeanor or felony?*
If you have been adjudicated guilty or convicted of a DUI, DWAI or other charge related to driving a vehicle under the influence of alcohol or drugs in the past calendar year or have been adjudicated guilty or convicted of more than one DUI, DWAI or other charge related to driving a vehicle under the influence of alcohol or drugs, you must answer "yes" to this question and report these instances.
Note: you are not required to answer "yes" to this question if the criminal adjudication or conviction solely involved the personal use of alcohol or marijuana or has been expunged, sealed, annulled, destroyed, erased or otherwise required by law or ordered by a court to be kept confidential.
5. Do you have any pending charges OR have you ever been adjudicated guilty or convicted of a misdemeanor or felony?*
If you have been adjudicated guilty or convicted of a DUI, DWAI or other charge related to driving a vehicle under the influence of alcohol or drugs in the past calendar year or have been adjudicated guilty or convicted of more than one DUI, DWAI or other charge related to driving a vehicle under the influence of alcohol or drugs, you must answer "yes" to this question and report these instances.
Note: you are not required to answer "yes" to this question if the criminal adjudication or conviction solely involved the personal use of alcohol or marijuana or has been expunged, sealed, annulled, destroyed, erased or otherwise required by law or ordered by a court to be kept confidential.
Yes
No
All applicants who answer 'yes' to the criminal history question will go through an additional review once it is determined that the application is academically eligible for admission. This review process may include a background check and some applicants may be asked to provide agency of records which include arrest reports and related court documents. If desired, you may upload these documents below to expedite the review process. More information about the admission procedures for applicants with criminal history can be found on our
website
.
Arrest reports and court records upload
Social Security Number (required - please enter with no dashes)*
Aliases. Include all previous names, dates the names were used, reasons (i.e. prior marriage, maiden name, etc.)
Marital status*
Divorced
Married
Single
Date of marriage*
Date of marriage*
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
Date of divorce*
Date of divorce*
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
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Driver's license number
List all states in which you have lived. If you are not yet in the US, please enter "NA." *
Are you currently on parole or probation?*
Are you currently on parole or probation?*
Yes
No
Please provide the name, agency, address, email address, and phone number of your parole or probation officer.
Name*
Agency*
Agency Address*
Agency Address*
Country
Street
City
Region
Postal Code
Agency Email Address*
Agency Phone Number*
Please enter the length of your parole or probation.*
Please enter the terms of your parole or probation.*
Are you currently in a community corrections program or a resident of a halfway house?*
Are you currently in a community corrections program or a resident of a halfway house?*
Yes
No
Provide the name, address, and phone number of the facility and your supervisor's name and email address.
Facility name*
Facility phone number*
Facility address*
Facility address*
Country
Street
City
Region
Postal Code
Supervisor name*
Supervisor email address*
List all law enforcement infractions. Detail any additional infractions in the text box provided below.
Incident 1 (All fields required for Incident 1)
Date of incident*
List all law enforcement infractions. Detail any additional infractions in the text box provided below.
Incident 1 (All fields required for Incident 1)
Date of incident*
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Arresting law enforcement agency (i.e. name of police department or other arresting agency)*
Case Number*
Offense Charged*
Court disposition and sentence (i.e. plea agreement, time in custody, probation terms, etc.)*
Incident 2
Date of incident
Incident 2
Date of incident
January
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Arresting law enforcement agency (i.e. name of police department or other arresting agency)
Case number
Offense Charged
Court disposition and sentence (i.e. plea agreement, time in custody, probation terms, etc.)
Incident 3
Date of incident
Incident 3
Date of incident
January
February
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Arresting law enforcement agency (i.e. name of police department or other arresting agency)
Case number
Offense Charged
Court disposition and sentence (i.e. plea agreement, time in custody, probation terms, etc.)
Incident 4
Date of incident
Incident 4
Date of incident
January
February
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December
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Arresting law enforcement agency (i.e. name of police department or other arresting agency)
Case number
Offense Charged
Court disposition and sentence (i.e. plea agreement, time in custody, probation terms, etc.)
Additional incidents if applicable. Be sure to include dates, arresting law enforcement agencies, case numbers, offenses charged, and court dispositions and sentences for each additional incident.
Provide a detailed explanation of the incident(s) and outcome. Include information about what you have done since the incident, treatment you have undergone, lessons learned, etc.*
(Required)
Sign the statement and Authorization for Release of Information below:
By typing my name below, I hereby certify that to the best of my knowledge, the information furnished above is accurate, true and complete. I understand that if it found to be otherwise, it is sufficient cause for refusal, dismissal, or discipline. I authorize representatives of the University of Colorado Boulder to make any and all appropriate inquiries regarding the information listed in this supplement, including conducting a criminal history background check through a third party provider.
I hereby release the university, its officers, employees, and representatives from any liability or damage that may result from furnishing the information requested or conducting the background check.
Applicant signature*
Date*
Date*
January
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By submitting your registration form, you certify that to the best of your knowledge, the information submitted in this form is true and complete. You understand that if found to be otherwise, it is sufficient cause for refusal or dismissal. You also agree to all terms and conditions as discussed in this form.
In place of your signature,
please type your full legal name and then hit enter
:*
Signature = 1
Submit