Register for Distance Education Courses

To register for Distance Education courses, please enter the information requested in the form below. For information regarding registration procedures, click here.

* indicates a required field

Register for Distance Education Courses
First Name: *
Last Name: *
Middle Initial:
Date of Birth: * (e.g. mm/dd/yy)
Social Security: * (e.g. xxx-xx-xxxx)
Gender:
Marital Status:
Street/PO Box: *
City/Town: *
State/Province: *
PostalCode/Postal Code: *
Country: *
Phone: * (e.g. xxx-xxx-xxxx)
E-mail: *
MajorDegree or Degree: *
Course Information:
Semester: Year:
Subject Course # Title
Are you eligible for Veteran's Educational Benefits? Yes No
Ethnicity: (optional)

The 1974 Family Educational Rights and Privacy Act protects the privacy of educational records. The Act also identifies certain categories of student records as "Directory Information". Directory Information includes: student's name, Address, degree, and Major field of study, awards and honors (including Dean' List), and date/place of birth. To suppress "Directory Information" from public distribution, complete the Directory information Disclosure form in the Registrar's Office.