Registration for Non-Matriculated Students

This form will be sent to The Office of Student Services electronically. Once this form has been processed a Sage Access account will be created and emailed to you. A separate email detailing instructions for registering for future terms will be sent to your email account. This form serves as your request to register for the course you indicate below and an email confirming your registration will be sent within one (1) business day.

First Name*:
Last Name*:
Address*:
City* / State*:
Zip*:
Daytime Phone*: (1235551234)
Cell Phone:
Email*:
Date of Birth*: (mmddyyyy)
Gender*:	Male    Female
Social Security Number*: (123456790)
Citizenship*:	U.S. Citizen    Resident Alien Other
I am interested in enrolling at*:	Russell Sage College Sage College of Albany Sage Graduate School Sage After Work
I am interested and would like to be registered for:
Semester*	Spring 2012 Summer I 2012Summer II 2012Summer III 2012 Fall 2012 Spring 2013 Summer I 2013 Summer II 2013 Summer III 2013 Fall 2013 Spring 2014 Summer I 2014 Summer II 2014 Summer III 2014 Fall 2014
Program* (eg. PSY)
Course Number* (eg. 101)
Section Number* (eg. 01)
Colleges and Universities are asked by many, including the federal government, accrediting associations, college guides, and our own college communities, to describe the racial/ethnic backgrounds of our students and employees. The Department of Education recently issued new guidelines which change the way schools collect and report this information.
Do you consider yourself to be Hispanic/Latino?	Yes No
In addition, select one or more of the following racial categories to describe yourself:
	American Indian or Alaska Native Asian Black or African American Native Hawaiian or Pacific Islander White
Emergency Contact Person:
Daytime Phone:
Evening Phone:
Employer:
Position:
Employer Address:
Work Phone:

* Fields marked are required.