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Special Student Admissions

MIT Office of the Dean for Graduate Education
Building 35-332
77 Massachusetts Avenue
Cambridge, MA 02139-4307
Phone (617) 253-2917
Email: mitspecial@mit.edu

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May 1

UNDE RG RADUAT E S PE C IA L S T U D EN T ST A TU S
If you are enrolled at another university and wish to study subjects not offered at your home university, you may apply to MIT as a non-degree undergraduate
Special Student. Special Student status is available to individuals who have successfully completed at least one year of full-time study, or the equivelent, at the
university level. Secondary school students are not eligible.
Special students enjoy most of the privileges of matriculating students but are not eligible for campus housing or financial aid from MIT. Admission as a Special
Student is valid for only one term (students must reapply each term) and does not imply admission as a degree c andidate at a later time.
Although applicants are considered undergaduate special students, the adminstration and application process is held within the Office of the Dean for
Graduate Education.
If you hold a bachelors degree or higher, and are interested in taking classes as a non-degree student at MIT, you must apply through MITs
Advanced Study Program. Please visit their website at http://web.mit.edu/professional/advanced-study/admis-sions.html or contact them at
advancedstudy@mit.edu for more information.

APPL I CAT I O N P ROC E D U R E

A person seeking admission as a non-degree undergraduate Special Student must apply through Special Student Admissions. Complete applications for a
given term must be filed before the deadlines given above, including a $75 application fee. All materials must be mailed to the provided address.
Persons applying for the first time must submit an Application for Special Student Admission, one Special Student Evaluation (from a teacher, dean, professor,
or current work supervisor), and a certified transcript from each college previously attended. Special Students may not register for thesis, research (UROP
for undergraduates), IAP, or other subjects for degree candidates only. Regular students will be given preference for registration in subjects with
limited enrollments. All applications will be reviewed by Special Studnet Admissions and the relevant department(s).
Applicants wishing to audit courses are subject to the same regulations, including tuition, as those taking courses for credit.
Special Student Admissions notifies all applicants of admissions decisions. If the applicant is admitted, further information about registration and tuoin payment
options will be provided.
Current course offerings are viewable online at http://web.mit.edu/catalog/.

QUAL I F I CAT I O NS
A person who does not possess an undergraduate degree will be considered an Undergraduate Special Student. Undergraduate Special Students are limited
to two terms. Special Student status is a guest status only and not a means to an undergraduate degree at MIT.
Qualifications for admission as a Special Student are not appreciably different from those expected of a regular student. The department to which
the student applies will evaluate an applicants qualifications for the specific course(s) desired. Prior instructor approval does not ensure admission. If an
individual is applying to take subjects in more than one department, approval of the Registration Officer in each department is required. Final approval is at the
discretion of Special Student Admissions. All admitted Special Students must receive satisfactory grades in order to reapply for future terms.
For former MIT students, any course grade you receive as a Special Student will contribute to your cumulative MIT grade-point average. Visiting Students
cannot register without changing their status.

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MIT E M P L O Y E E S
MIT employees may be eligible for reimbursement of one MIT course per term through the Tuition Assistance Plan. Employees must adhere to the same
application procedures, deadlines, and qualifications as all Special Students. Once they are admitted as a Special Student, employees must submit
additional information to the Benefits Office in order to obtain a tuition deferment prior to the start of class. If students successfully complete their course by
earning a minimum final grade of C- or better for an undergraduate course or B- or better for a graduate course, and if they remain eligible to participate in
the Tuition Assistance Plan through the last day of their course, their student account will be credited with the amount of the tuition (a prorated amount for
part-time employees) by an internal transfer of funds. Please note that auditing a course is not permitted under the Tuition Assistance Plan.
Further information is provided in the Employee Benefits section of the Human Resources website at http://hrweb.mit.edu/benefits/education/ta/index.html.
A candidate for admission as a Special Student who is employed by MIT must obtain the approval of his/her supervisor. The supervisor must indicate
approval by signing in Section 9 of the application form. Signature approval must be obtained prior to submitting the application.

INTER NAT I O NAL S T U D E N T S

A student who is neither a United States citizen nor a United States Permanent Resident is considered an International Student.
In addition to the academic documentation required for admission as a Special Student, international applicants must submit a photocopy of their official
TOEFL (Test of English as a Foreign Language) or IELTS (International English Language Testing System) score. The minimum required scores are 90 on
the TOEFL internet-based test and 7 on the IELTS. Some departments may have higher score requirements; please visit the relevant department's
website for further information regarding minimum score requirements. All transcripts must be certified and officially translated into English.
After admission to MIT, the applicant must provide evidence of their ability to meet all financial obligations of study at MIT, including tuition and living expenses.
Please note that living expenses for married students are substantially higher. The form 1-20 or DS 2019 will not be issued for subject registration of less
than 36 units. Most subjects at MIT are either 9 or 12 units each. Full-time tuition will cover 36 units or more.
An international student who holds a student visa at another university or any non-resident visa holder should contact the International Students Office for
information on transfer or change of visa status procedures. International students are not permitted to cross-register at Harvard University.

FEES
Those applying for Special Student status for the first time pay a $75 application fee, which will cover two sequential terms. Otherwise, a new fee will
be required for each term. For information about tuition and fees please visit the Office of the Registrar at:
http://web.mit.edu/registrar/reg/costs/special/specialtuition.html

Special Students are charged a prorated fee for any course dropped after registration day and are charged in full for any course added. A Student
Life fee is required of all Special Students who are not MIT employees, employee dependents, or student dependents. Special Students carrying 27 or more
units, or Special Students on a J1 visa regardless of the number of units, are also required to have health insurance. Special Students with comparable
insurance may submit a waiver to the Student Health Plan office for the Student Extended Insurance Plan via the on-line waiver system (see "Medical Care"
section below).

MEDICAL CARE
Massachusetts state law requires Special Students carrying 27 or more units, or Special Students on a J1 visa regardless of the number of units, to have
health insurance. Students paying tuition to MIT are automatically enrolled in the Student Extended Insurance Plan, which meets the state health insurance
requirement.
Students who have other insurance that meets Massachusetts requirements can ask to waive mandatory enrollment in the MIT Student Extended Insurance
Plan. For further information visit the Student Health Plan website at http://medweb.mit.edu/healthplans/student/index.html, or contact the Student Health Plan
office at 617-253-4371 or stuplan@med.mit.edu.
All Special Students must show evidence of required inoculations and submit a Medical Report Form to the MIT Medical Department. Special Students with a
chronic medical condition are urged to identify their condition on the Medical Report Form. The Medical Report Form must be submitted to the MIT Medical
Department prior to Registration Day. For further information or questions on the Medical Report Form, contact medrpt@med.mit.edu.

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Special Student Admissions

MIT Office of the Dean for Graduate Education
Building 35-332
77 Massachusetts Avenue
Cambridge, MA 02139-4307

S T U D E N T

A D M I S S I O N

1
Last/Family/Surname

First/Given name

Middle initial

Date of birth (Month/Day/Year)

Phone (617) 253-2917

Email: mitspecial@mit.edu

This is the application to study at MIT as a non-matriculating, non-degree

student. This form must be submitted each semester. This application plus
supporting documents must be submitted by:

2 I am appl yi ng for:

o Fall Term 20____

o Spring Term 20____

2I am appl yi ng for:

o Full-Time Status

o Less than Full-Time Status

3 Have you ever applied to MIT before?

(e.g. Part-Time, Half-Time, etc.)

o Yes

o No

If yes, select appropriate boxes and indicate term and year:

Fall Term

Spring Term

o Undergraduate

_________________

o Graduate ______________________
o Special ________________________
o Transfer _______________________
Did you enroll?

o Yes

o No
o Yes

If you enrolled, have you ever withdrawn from MIT?

o No

4 Bi ogr a p h i c a l i n f o r m a t io n

Applicants legal name_ __________________________________________________________________________________________________________

Last/Family/Surname

First/Given name

Middle

Suffix (Jr., III, etc.)

Applicants preferred first name___________________________________

o Female

o Male

Date of birth ___________________________

Month/Day/Year

5 Addr es s e s

Place of birth_________________________________________________
City/State or province/Country

Please notify us if your address changes.

If your mailing address differs from your home address, mailing address
is valid from:_______________through _______________
beginning date

Mailing address (if different from your home address)

Home (permanent) address

Street address

Street address

City

State or province

(
Country

ending date

ZIP or postal code

City

Telephone

Country

Area or country code

State or province

Area or country code

ZIP or postal code

)
Telephone

Email address

Special
Student status is for one term only and is contingent on approval of the specified course(s) by both the relevant department(s) and the
Office of Admissions.

I understand that admission as a Special Student does not imply present or future admission to MIT as a degree candidate.
I understand that prior instructor approval does not ensure admission.
I understand that final approval is at the discretion of the Office of Admissions
I understand that as a Special Student applicant, I may not attend classes until I have been notified by the Office of Admissions.
I understand that any course changes after admission has been granted will require additional approval by the Office of Admissions.
I understand that Special Students are charged a prorated fee for any course dropped after registration day and are charged in full for any course
added.
I have completed all applicable spaces on this application and I affirm their accuracy. I understand that any misrepresentation of facts on this a
pplication
may be cause for refusal or cancellation of admission as a Special Student.

Signature

Date

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6 Ci ti z en s h i p i n f o r m a t i o n

Choose one option below.

U.S. Citizen

Non-U.S. Citizen/Non-U.S. Permanent Resident

U.S. Permanent Resident (Green Card holder)

Country of citizenship________________________________
Attach a photocopy of your Green Card.

Country of citizenship________________________________
Visa Type (if applicable)______________________________
(F-1, J-1, etc.)

7 O pti on a l (U.S. citizens and permanent residents only)

In connection with its Affirmative Action Plan, the Massachusetts Institute of Technology guarantees equal opportunity in education to students of all racial and
ethnic backgrounds. I consider myself to belong to the following ethnic group(s) (check all that apply):
1.) Are you Hispanic or Latino?
Yes, Hispanic or Latino (including Spain)
Which best describes your background?
Central America
Cuba
Mexico
Puerto Rico
South America
Spain
Other__________________________

No

2.) Regardless of your answer to the prior question, please check one or more of the following groups in which you consider yourself to be a member.
American Indian or Alaska Native (including all Original Peoples of the
Americas)
Which best describes your background?
Alaska Native
Chippewa
Choctaw
Cherokee
Navajo
Sioux
Other__________________________
Are you registered?
No
Yes, my registration number is__________________________
Asian (including Indian subcontinent and Philippines)
Which best describes your background?
China
India
Japan
Korea
Pakistan
Philippines
Vietnam
Other East Asian________________________
Other Indian Subcontinent________________________
Other Southeast Asian___________________________

Black or African American (including Africa and Caribbean)

Which best describes your background?
African American
Caribbean
African
Other__________________________
Native Hawaiian or Other Pacific Islander (Original Peoples)
Which best describes your background?
Guam
Hawaii
Samoa
Other Pacific Islands (excluding Philippines)_____________________
White (including Middle Eastern)
Which best describes your background?
Europe
Middle East
__________________________

8 E duca t i o n a l H i s t o r y

List any technical institutes, junior colleges, four-year colleges or universities you have attended, or are currently attending (including MIT).
Name
City
ZIP/Postcode

State
Country

Date entered

Name

Date departed

City

Degree(e.g.BA,BS,etc.)

ZIP/Postcode

Student Year Status (Sophomore, Junior, Senior OR 2nd, 3rd, 4th year etc.)

Date entered
State

Date departed
Degree(e.g.BA,BS,etc.)

Country

Student Year Status (Sophomore, Junior, Senior OR 2nd, 3rd, 4th year etc.)

9 E m pl o y e r I n f o r m a t i o n

Please give the name of your employer, if other than MIT.

If you are employed by MIT, please specify:

o Staff

Company

Supervisor

City

State

o Non-Staff

o Lincoln

o Other

Department
Supervisor name, title, and MIT extension (please print)
Country
Supervisor signature of approval

Date

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10 Non-n a t i v e E n g l i s h s pe a k e rs

A D M I S S I O N

Last/Family/Surname

Please indicate your TOEFL or IELTS score and date of test.

Test score

S T U D E N T

First/Given name

Middle initial

Date of birth ( Month / Day / Year )

Date of test

11 S tatem e n t

What is your objective in applying for admission as a Special Student? Please be specific. Please attach a separate sheet of paper.

12 Cou r s e s

Please list the courses you would like to enroll in. MIT employees are eligible to receive Tuition Assistance for one course per term.
Class listings may be found online at: http://student.mit.edu/catalog/index.cgi
***IMPORTANT*** Please make sure to read the symbols help page at: http://student.mit.edu/catalog/symbols.html.
Classes with the leaf
symbol are availible in the Fall term. Classes with the flower
symbol are availible in the Spring term. Classes with the
slash
symnol are not availible. If you choose classes that are not availible for the term you apply for your application will not be approved.

For department use only.

Course number

Course title

Department signature

Number of units (e.g., 6, 9, 12, 15)

Approved

Course number

Department signature

Course title

Not Approved

Number of units (e.g., 6, 9, 12, 15)

Approved

Course number

Department signature

Course title

Not Approved

Number of units (e.g., 6, 9, 12, 15)

Approved

Course number

Department signature

Course title

Not Approved

Number of units (e.g., 6, 9, 12, 15)

Approved

Course number

Department signature

Course title

Number of units (e.g., 6, 9, 12, 15)

Approved

Not Approved

Not Approved

Date
Undergraduate

Date
Undergraduate

Graduate

Date
Undergraduate

Graduate

Date
Undergraduate

Graduate

Date
Undergraduate

Date

Approved

Undergraduate

Not Approved

Graduate

Graduate

Graduate

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CHE CKLIS T

o Completed Application Form

o Official Transcript(s) in English
o Evaluation Form
o $75 non-refundable application fee (U.S. dollars)
Use a check or money order payable to MIT Special Student Admissions

International Students
o Photocopy of Permanent Resident or Green Card (if applicable)
o TOEFL or IELTS score (photocopy of the official score report)

Mail application packet to:

Special Student Admissions
MIT Office of the Dean for Graduate Education
Building 35-332
77 Massachusetts Avenue
Cambridge, MA 02139-4307
The MIT Bulletin
For detailed course listings and degree requirements consult The MIT Bulletin (Course and Degree Catalogue), which you can order through the MIT Press
Bookstore by calling (617) 253-5249. They can also be ordered online at http://mitpress.mit.edu/bookstore/bulletin.html. The cost is $5.00 plus shipping, and
it is available for delivery to anywhere in the world.
Course descriptions are also available on the Web: http://web.mit.edu/catalogue/.
MITs policy of nondiscrimination
The Massachusetts Institute of Technology is committed to the principle of equal opportunity in education and employment. The Institute does not discriminate against individuals on the basis of race, color, sex, sexual orientation, religion, disability, age, veteran status, ancestry, or national or ethnic origin in
the administration of its educational policies, admissions policies, employment policies, scholarship and loan programs, and other Institute-administered
programs and activities, but may favor U.S. citizens or residents in admissions and financial aid.*
The Vice President for Human Resources is designated as the Institutes Equal Opportunity Officer and Title IX Coordinator. Inquiries concerning theInstitutes policies, compliance with applicable laws, statutes, and regulations (such as Title VI, Title IX, and Section 504), and complaints may bedirected to
Laura Avakian, Vice President for Human Resources, Room E19-239N, (617) 253-6512 or to Philip Lima, Coordinator of Staff Diversity Initiatives, Room
E19-215, (617) 253-1594. Inquiries about the laws and about compliance may also be directed to the Assistant Secretary for CivilRights, U.S. Department
of Education.
*The ROTC programs located on the MIT campus are operated under Department of Defense policies and regulations, and do not comply fully with MITs
policy of nondiscrimination with regard to sexual orientation. On the recommendation of the Faculty, MIT is working to develop a modified on-campus
ROTC program open to all MIT students.
MITs use of information
MIT is committed to protecting the individual privacy of applicants and students by restricting the use of all collected information as specified by Institute
policies. In accordance with these policies, the information on this application may be used by MIT officials only for appropriate administrative and research
purposes.
Safety and security
The MIT Annual Security and Fire Safety Report for 2012, prepared by the MIT Police Department, is a comprehensive publication required by the
Department of Education, also known as the Jeanne Clery Act. This publication provides an overview of the MIT Police Department, it services, campus security policies, and crime and fire statistics, is available upon request from MIT Police Headquarters, at W89, 77 Massachusetts Ave., Cambridge,
MA 02139-4307 or online at http://web.mit.edu/cp/www/_docs/MIT-Police-security-report-2012.pdf This handbook is also available at HR and from the
Admissions Office.

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Special Student Admissions

MIT Office of the Dean for Graduate Education
Building 35-332
77 Massachusetts Avenue
Cambridge, MA 02139-4307
Phone (617) 253-2917
Email: mitspecial@mit.edu

Under the Family Educational Rights and Privacy Act (Buckley Amendment), a student enrolled at MIT
has access to his or her educational records. To the Applicant: Sign your name below only if you agree
to voluntarily waive your right of access to review this recommendation.

Applicant Signature

Date

Name of Applicant
College Attending, or Last Attended
To the Applicant:
This form should be completed by a professor
or by someone in a supervisory capacity under
whom you are employed.

To the Endorser:
We shall be grateful if you will give us your
evaluation of this applicant. Please use examples
where relevant.

Name
Address
Position

Length of time acquainted with applicant

Signature of evaluator

Date
Please return directly to Special Student Admissions, Building 35-332, MIT