Registration Request

Student ID*

Name

First Last

Regent Email Address*

Semester for which you would like to be enrolled:*

Number of credits for which you would like to be enrolled:*

Please enter a number less than or equal to 24.

Comments/Notes

For 8-week courses, please indicate any sessions in which you do not want to be enrolled.

Please indicate that you understand the following:*

I acknowledge that by submitting this form I agree to be enrolled in courses for the above indicated semester by an Advisor.
I acknowledge that by agreeing to be enrolled by an Advisor, I am prepared to accept accompanying financial charges for the indicated semester and will complete Semester Check-In by the semester/session deadline.
I understand that I may not be able to be registered for the indicated semester if there is a hold on my account or my current academic standing prevents registration.

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