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Sixty Plus (60+) Application 2024-25
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Name
First Name
Middle Name
Last Name
Preferred Name
Former Name(s)
Address
Permanent Address
Permanent Address
Country
Street
City
Region
Postal Code
Contact Information
Email Address
Home Phone Number
Cell Phone Number
Biographical/Citizenship Information
Sex
Female
Male
Not Declared / Unknown
Birthdate
Birthdate
January
February
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1914
1913
1912
1911
1910
1909
1908
1907
1906
1905
1904
1903
1902
1901
1900
Primary Citizenship
Afghanistan
Aland Islands
Albania
Algeria
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Ashmore and Cartier Islands
Australia
Austria
Azerbaijan
Bahamas, The
Bahrain
Bangladesh
Barbados
Bassas Da India
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius, and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Clipperton Island
Cocos Islands (Keeling Islands)
Colombia
Comoros
Congo (Brazzaville)
Congo (Kinshasa)
Cook Islands
Coral Sea Islands
Costa Rica
Cote D'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Europa Island
Falkland Islands (Islas Malvinas)
Faroe Islands
Federated States of Micronesia
Fiji
Finland
Foreign/Unknown
France
French Guiana
French Polynesia
French Southern and Antarctic Lands
Gabon
Gambia, The
Gaza Strip
Georgia
Germany
Ghana
Gibraltar
Glorioso Islands
Greece
Greenland
Grenada
Guadeloupe
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong S.A.R.
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Jan Mayen
Japan
Jersey
Jordan
Juan De Nova Island
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau S.A.R.
Macedonia, Republic of North
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Man, Isle of
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Norway
Oman
Pakistan
Palau, the Pacific Islands of
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Qatar
Reunion
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Spratly Islands
Sri Lanka
Sudan
Suriname
Svalbard
Svalbard and Jan Mayen
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tromelin Island
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Wallis and Futuna Islands
Western Sahara
Yemen
Yugoslavia
Zambia
Zimbabwe
Are you a US Permanent Resident?
Are you a US Permanent Resident?
Yes
No
Permanent Resident Card Number
Date of Established Residency in Ohio
Date of Established Residency in Ohio
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Race/Ethnicity
Colleges and universities are asked by many groups, including the federal government, accrediting associations, college guides, and newspapers, to describe the ethnic/racial backgrounds of their students and employees. In order to respond to these requests, we ask you to answer the following two questions.
Are you Hispanic or Latino?
Are you Hispanic or Latino?
Yes
No
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:
Race
Race
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific
White
School Information
School Awarding Highest Earned Degree
School CEEB (hidden)
Highest Degree Earned
No Degree Earned
High School Diploma or GED
Associate Degree
Bachelor's Degree
Master's Degree
Doctoral Degree
Date of Highest Degree Earned
Date of Highest Degree Earned
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Term You Are Applying To
2025 Spring (January)
2025 Summer (May)
Have you previously attended The University of Akron?
Have you previously attended The University of Akron?
Yes
No
Is this the first time you have applied for the 60+ Program at UA?
Is this the first time you have applied for the 60+ Program at UA?
Yes
No
Will you be seeking a degree at UA or attending for audit only?
Will you be seeking a degree at UA or attending for audit only?
Audit Only
For Credit/Degree-Seeking
Income Verification Information
Credit-seeking applicants will need to provide additional income verification information.
For the purpose of completing these questions,
INCOME INCLUDES
total annual cash receipts before taxes from the following sources: money wages and salaried before any deductions; net receipts from nonfarm self-employment (receipts from a person's own unincorporated business, professional enterprise, or partnership, after deductions for business expenses); net receipts from farm self-employment (receipts from a farm which one operates as an owner, renter, or sharecropper, after deductions for farm operating expenses); regular payments from social security, railroad retirement, unemployment compensation, strike benefits from union funds, workers' compensation, veteran's payments, public assistance (including Aid for Families with Dependent Children or Temporary Assistance for needy families, Supplemental Security Income, and non-Federally-funded General Assistance or general relief money payments), and training stipends; alimony, child support, and military allotments or other regular support from an absent family member or someone not living in the household; private pensions, government employee pensions (including military retirement pay), and regular insurance or annuity payments; college or university scholarships, grants, fellowships, and assistantships; and dividends, interest, net rental income, net royalties, periodic receipts from estates or trusts, and net gambling and lottery winnings.
INCOME FOES NOT INCLUDE
the following: capital gains; any assets drawn from withdrawals from a bank, the sale of property, a house, or a car; or tax refunds, gifts, loans, lump-sum inheritances, one-time insurance payments, or compensation for injury. Also excluded are noncash benefits, such as the employer-paid or union-paid portion of health insurance or other employee fringe benefits, food or housing in lieu of wages, the value of food and fuel produced on farms, the imputed value of rent from owner-occupied nonfarm or farm housing, and such federal noncash benefit programs as Medicare, Medicaid, food stamps, school lunches and housing assistance.
SSN
Number of family members in your household
1
2
3
4
5
6
7
8
9
10
More than 10
Total income of ALL household members for the most recent calendar year
Income Verification Documentation
You may upload a PDF, Microsoft Word document, or image file of your income verification. Examples include 1040 tax returns, 1099 statements, W2s, etc.
Community Integrity
The University of Akron is committed to maintaining a university environment characterized by safety, respect, integrity and inclusion. As a condition of enrollment, all University of Akron students must respond to the Community Integrity questions upon seeking enrollment at UA. Answering yes to either question below does not automatically bar you from enrollment. The University of Akron reviews each case holistically and seeks to understand the context of each student's situation.
Have you ever been dismissed/expelled for any disciplinary or academic reason from any school or is an academic dismissal/expulsion or disciplinary charge from any such institution currently pending against you?
Have you ever been dismissed/expelled for any disciplinary or academic reason from any school or is an academic dismissal/expulsion or disciplinary charge from any such institution currently pending against you?
Yes
No
Have you ever been convicted of a criminal offense (felony, misdemeanor or juvenile offense) other than a minor traffic violation, or is any such charge currently pending against you?
Have you ever been convicted of a criminal offense (felony, misdemeanor or juvenile offense) other than a minor traffic violation, or is any such charge currently pending against you?
Yes
No
The University will need additional information before you can proceed with enrollment. Please provide detailed information about these incidents as well as your permission to obtain additional information directly from the police, court records, or individuals involved.
In order to obtain this information directly, we may need your written permission. If this Supplemental Information Form is not submitted within 30 days, we will presume that you do not grant permission to pursue records, and that you no longer seek enrollment at The University of Akron.
Disciplinary History
Please include all dismissals/expulsions and any pending charges from any school. Failure to include a complete record or falsifying answers may disqualify an applicant from enrollment at UA.
Charges
Violations found responsible for
Penalties
Date of incident
Date of incident
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School where incident occurred
Please explain the details and circumstances surrounding the incident.
Please describe the nature of the offense, and what, if any, rehabilitation efforts you have undertaken and/or what you have learned from the experience.
Criminal History
Please include all convictions and any pending criminal charges. Failure to include a complete record or falsifying answers may disqualify an applicant from enrollment at UA.
Offense you were charged with
Date of conviction
Date of conviction
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February
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Date of charge, if still pending
Date of charge, if still pending
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Arresting agency
Court in which charges were heard
Case number assigned by court
Sentence/fine imposed
Name and contact information of any parole or probation officer or counselor assigned to your case
Please explain the details and circumstances surrounding the incident.
Please describe the nature of the offense, and what, if any, rehabilitation efforts you have undertaken and/or what you learned from the experience.
Please enter your full name to serve as your signature verifying all information provided is accurate.
Sixty Plus Course Information
Option A: Courses taken on an AUDIT BASIS
Developed in accordance with State Law 3345.27 which was passed in 1976, the Sixty Plus Program provides Ohio residents age 60 and older the opportunity to AUDIT credit classes on a space-available, non-tuition basis. Sixty Plus students are exempt from payment of tuition and general service fees, but are expected to pay for any books, laboratory, or instructional fees and parking, if needed. Auditing allows students to attend classes but college credit is not awarded. Participants may audit up to three classes per semester or term.
APPLICATION GUIDELINES for Option A - Auditing Basis
Please complete this application as soon as possible and at least ONE WEEK PRIOR to in-person registration. This application must be completed for all first-time Sixty Plus participants and for those who have not attended classes in the last five years.
Option B: Courses for CREDIT (selective, income-based criteria)
In accordance with Revised Code 3345.27, passed in 1998, the Sixty Plus Program
may permit
and enrollee to receive credit, provided the
individual's family income is less than 200% of the federal poverty guideline
, as revised annually by the US Secretary of Health and Human Services for a family size equal to the size of the family of the person whose income is being determined.
Under this credit option, income-eligible Sixty Plus participants may enroll for 11 or fewer credits exempt from payment of tuition and general service fees. Sixty Plus students will be expected to pay for any books, laboratory or instructional fees, and parking, if needed.
APPLICATION GUIDELINES for Option B (selective, income-based criteria)
Please complete this application as soon as possible AND income verification materials as soon as possible, and at least 30 days prior to the start of the semester. This application form must be completed for all first-time Sixty Plus participants and for those who have not attended classes in the last five years AND for those switching from Option A to Option B.
Sixty Plus enrollees will receive credit for classes ONLY IF they have:
1. Submitted all pertinent information according to the deadline stated above
2. An income level which meets the stated guidelines and is approved by the UA Office of Student Financial Aid
In addition, income-eligible Sixty Plus students seeking credit
must declare
the credit choice at the time of registration. Credit requested on a retroactive basis
WILL BE DENIED
. In order to receive credit, a Sixty Plus applicant
must meet
all admissions criteria for matriculation into the degree program of choice, INCLUDING A HIGH SCHOOL DIPLOMA or GED. If other colleges have been attended, you will also need to provide those transcripts BEFORE ACCEPTANCE into the program.
Applicant Type (hidden)
Akron Early College High School
College Credit Plus
Direct Connect
Early College High School
ELI
Graduate
Non-Degree
Readmit/Reenroll
Special
First-Year Student
Transfer
Post-Baccalaureate
Guest/Transient
Adult
Exchange Student
AMP
Sixty Plus
Major (hidden)
Non-Degree CCP
Non-Degree EC
Non-Degree
Campus (hidden)
Akron Campus
Wayne Campus
Online
Enrollment Status (hidden)
Full-Time
Part-Time
App Round (hidden)
GR 2025
UG 2025
UG 2025 - Joffrey
UG INTL Fall 2025
UG INTL Spring 2025
UG INTL Summer 2025
ELI 2024
GR 2024
UG 2024
UG 2024 - Joffrey
UG INTL Fall 2024
UG INTL Spring 2024
UG INTL Summer 2024
GR 2023
UG 2023
UG INTL Fall 2023
UG INTL Spring 2023
UG INTL Summer 2023
Fall 2022
Spring 2022
Summer 2022
F21
Spring 2021
Summer 2021
F20
Spring 2020
Summer 2020
F19
F18
App Submitted Date (hidden)
App Submitted Date (hidden)
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App Submitted Flag (hidden)
Yes
No
Submit