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S P E C I A L

S T U D E N T

I N F O R M A T I O N

Office of Admissions
Massachusetts Institute of Technology
Room 3-103 (S)
77 Massachusetts Avenue
Cambridge, MA 02139-4307
Phone (617) 253-2917
mitspecial@mit.edu

S H E E T

S P E C IA L S TU D E N T D E A D LIN E S

U.S. Citizens and


Permanent Residents

International
Students

Fall Term

August 1

June 1

Spring Term

January 1

November 1

Summer Term

May 1

March 1

SPECI AL S T UDE N T STAT U 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 Special Student. Special Student
status is available to individuals who have successfully completed a year or more of study 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.
If you hold a bachelors degree or higher, are not currently enrolled in a degree program, 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/admissions.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 Special Student must apply through the Office of Admissions. Complete applications for a given term must be filed before
the deadlines given above, including a $75 application fee. Only in extreme circumstances will an application be accepted after the deadline, and then
only upon payment of a $40 late fee.
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 both the Office of 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 Students wishing to continue or to resume studies as a Special Student need file only the application form and fee to be considered. Faxed applications will not be reviewed.
The Office of Admissions notifies all applicants of admissions decisions. If the applicant is admitted, he/she must arrange to pay tuition and complete the registration process at the Student Services Center, Room 11-120. These transactions must be completed as soon as possible.
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. A former MIT student who has withdrawn
for any reason and wishes to be readmitted should apply to Counseling and Support Services (after a first required withdrawal) or the Committee on Academic
Performance (after a second required withdrawal). 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.
A candidate for admission as a Special Student who holds an undergraduate degree and is currently enrolled in a degree program will be considered a
Graduate Special Student. Graduate Special Students are limited to three terms. An applicant who was formerly enrolled at MIT as a degree-oriented graduate student and who has not subsequently obtained a degree must have the approval of the Office of the Dean of the Graduate School to be considered for
admission as a Special Student. Similar approval is required if the applicant has received a formal warning or disqualification for poor academic performance
in an MIT department other than the one to which the applicant seeks admission. NOTE: The Department of Mechanical Engineering will not accept a Special
Student application from anyone who has been denied admission to their graduate degree program.
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 the Office of 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.

S P E C I A L

S T U D E N T

I N F O R M A T I O N

S H E E T

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 by the Office of Admissions 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 to the Office of Admissions.

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. A completion certificate from an English language program may be submitted in lieu of these
test scores. 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 (covering 36 units or more) for one semester in 2012-2013 is $20,885. (Different
tuition rates apply for classes taken in the Sloan School of Management. See below for more information about per-unit charges.)
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 living outside of the United States are not p
ermitted to apply for the summer
session. 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. The tuition fee for Special Students in the 2013-2014 Fall and Spring terms is $670 per unit, with a minimum charge of $6,030 and a
maximum charge of $21,605. For Special Students who are employees of MIT and dependents of MIT employees, regular (undergraduate or graduate) MIT
students and dependents of regular students, the minimum tuition is $4,020. The fee for Special Students in the Sloan School of Management is $1,171 per
unit with a minimum charge of $10,539 and a maximum charge of $38,225.
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 of $140 is required of all Special Students who are not MIT employees, employee dependents, MIT students 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.

A P P L I C A T I O N

F O R

S P E C I A L

Office of Admissions
Massachusetts Institute of Technology
Room 3-103 (S)
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


mitspecial@mit.edu
2 I am appl yi ng for:

This is the application to study at MIT as a non-matriculating, non-degree oriented student. This form must be submitted each semester. This application plus
supporting documents should be submitted by:

U.S. Citizens and


Permanent Residents

International
Students

Fall Term

August 1

June 1

Spring Term

January 1

November 1

Summer Term

May 1

March 1

o Fall Term 20____

o Spring Term 20____

3 Have you ever applied to MIT before?

o Summer Term 20____

o Yes o No

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

o Undergraduate _________________

o Graduate ______________________

o Special ________________________

o Transfer _______________________
o Yes

o No

Did you enroll?

If you enrolled, have you ever withdrawn from MIT?

o Yes

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

Street address

Street address

State or province

Country

is valid from:_______________through _______________


beginning date
ending date

Mailing address (if different from your home address)

Home (permanent) address

City/State or province/Country

If your mailing address differs from your home address, mailing address

Please notify us if your address changes.

City

Place of birth_________________________________________________

ZIP or postal code

Area or country code

City


Telephone

Country

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

A P P L I C A T I O N

F O R

S P E C I A L

S T U D E N T

A D M I S S I O N

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

Date entered

Name

Date entered

City

Date departed

City

Date departed

Degree

ZIP/Postcode Country

State

ZIP/Postcode Country

State

Degree

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:


Company

o Staff o Non-Staff o Lincoln o Other

Supervisor
Department

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

Date

A P P L I C A T I O N

F O R

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

S T U D E N T

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 P E C I A L

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 if necessary.)

12 Cour 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.
For department use only.

Course number

Course title

Department signature

Date

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

Approved

Graduate

Course number

Department signature

Date

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

Approved

Graduate

Course number

Department signature

Date

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

Approved

Graduate

Course number

Department signature

Date

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

Approved

Graduate

Course number

Department signature

Date

Approved

Graduate

Course title

Course title

Course title

Course title

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

Not Approved

Not Approved

Not Approved

Not Approved

Not Approved

Undergraduate

Undergraduate

Undergraduate

Undergraduate

Undergraduate

Office of Admissions signature

Date

Approved

Undergraduate

Not Approved

Graduate

A P P L I C A T I O N

F O R

S P E C I A L

S T U D E N T

A D M I S S I O N

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 Office of Admissions
o $40 late fee, if applicable
International Students
o Financial Certification Form
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:
The Office of Admissions
Massachusetts Institute of Technology
Room 3-103(S)
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.

S P E C I A L

S T U D E N T

E V A L U A T I O N

F O R M

Office of Admissions
Massachusetts Institute of Technology
Room 3-103 (S)
77 Massachusetts Avenue
Cambridge, MA 02139-4307
Phone (617) 253-2917

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 3-103(S), MIT

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