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Continuing and Professional Studies (CAPS) Application

Personal Information

First Name*

Middle Name (optional)

Last Name (Family Name)*

Preferred First/Nickname

Birthdate

SSN Last Four Digits (optional)

Gender

Country of Citizenship

Status

Term

Please indicate if you belong to one of these programs:

Addresses

Mailing Address: *

Country

Street

City

Region

Postal Code

Email Address

Email Address*

Telephone Numbers

Daytime

Evening

Mobile

Registration Information - list your intended course(s) below

Use this link to find courses by selecting the appropriate Term, Subject, and Course Level and then hit the submit button.

Title / Meeting Information (Sample: ENG-124-A Great Books of World Lit II / Tuesday, Thursday 11:30AM - 12:45PM)

Please note that listing your intended courses does not register you for these courses. You’ll have to officially register in Self Service.

Academic Information

Current or Most Recent School Attended

Start date

End date

Are you a Suffolk employee or dependent, eligible for the Tuition Benefit?

Yes

If you, your parent or spouse currently work full-time at Suffolk University, and you are eligible for the tuition benefit as outlined by Human Resources, the response to this question is "Yes". You must also complete all required forms via the employee intranet.

Name of eligible Suffolk employee *

Employee Department *

I hereby certify that all information stated on this application is complete and accurate, and understand that falsification or omission of previous schooling will result in disqualification or dismissal.

Signature

Date

Continuing and Professional Studies (CAPS) Application

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