Summer Course Registration

Thank you for your interest in registering for summer courses at WPI. Submit this form to register for classes and create your student account.

Before continuing, please review the complete listing of summer classes.

If you have any questions, please don't hesitate to email.

Fields marked with an asterisk are required for submission

Personal Information

First Name

Preferred First Name

Middle Name

Last Name

Birthdate

Race

Hispanic or Latino

Legal Sex

Pronouns

Citizenship

Primary Citizenship

If you are a non-citizen, are you currently on an F1 or J1 Visa?

F1 Visa

I do not have an F1 or J1 Visa

J1 Visa

What institution issued your current DS2019?

What institution issued your current I-20?

Contact Information (please use primary residence information)

Mailing Address

Country

Street

City

Region

Postal Code

Phone Number

*International phone numbers outside of the US/Canada, please include a country code.

Email

*Registration information and communications will be sent to this email address.

Emergency Contact Information

*If you are under the age of 18 we require your emergency contact to be a parent or guardian.

Emergency Contact First Name

Emergency Contact Last Name

Emergency Contact Phone Number

(International phone numbers outside of the US/Canada, please include country code)

Relationship

Educational Background Information

Current Educational Status

Incoming Freshman (if you will join us as a new student in the Fall, please select this option.)

Incoming Transfer Student (if you will join us as a new student in the Fall, please select this option.)

Visiting Undergraduate (non-WPI)

Visiting Graduate (non-WPI)

Not Currently Enrolled

High School Student

Name of Current School

Relationship to WPI

I am a full-time WPI Employee

I am a WPI Alumni

I have attended WPI in the past

I have no previous connection to WPI

Please provide your Employee ID

Please provide your Student ID

Graduation Year

Legal Information

Have you ever been found responsible for a disciplinary violation at any educational institution you have attended, whether related to academic misconduct or behavioral misconduct, that resulted in a disciplinary action? These actions could include, but are not limited to: probation, suspension, removal, dismissal, or expulsion from the institution.

Yes

No

If you answered "yes", please give an approximate date of each incident and explain the circumstances in with space below.

Have you ever pledged guilty or been adjudicated guilty or convicted of a misdemeanor which resulted in imprisonment or which conviction did not result in imprisonment but occurred within the past 5 years (other than a first conviction for drunkenness, simple assault, speeding, minor traffic violations, affray or disturbance of the peace)?

Yes

No

If you answered "yes", please give an approximate date of each incident and explain the circumstances in with space below.

Enrollment Agreement

As a guest student at WPI, there are a number of policies and procedures that apply to various aspects of your study, including but not limited to:

Before we process your new program registration, we require you to acknowledge that you will be subject to all WPI's policies, procedures, and standards, and that you will follow the published appeal/petition procedures when requesting an exceptions to these policies.

I understand that by selecting yes and submitting this form I will be registered for my first course and will be subject to all applicable university policies.

As a guest student at WPI, there are a number of policies and procedures that apply to various aspects of your study, including but not limited to:

Before we process your new program registration, we require you to acknowledge that you will be subject to all WPI's policies, procedures, and standards, and that you will follow the published appeal/petition procedures when requesting an exceptions to these policies.

I understand that by selecting yes and submitting this form I will be registered for my first course and will be subject to all applicable university policies.

Yes

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Office of Undergraduate Studies - Worcester Polytechnic Institute
100 Institute Road, Worcester, MA 01609-2280 | Phone: +1-508-831-4960 | ugsummer@wpi.edu