Part-Time Non-Degree Student - Online Course Registration Form

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Anyone 18 or older is welcome to enroll part-time (11 credits or less) in class at LSSU. You do not need to be formally admitted.

You must be formally admitted if you want to earn a certificate or degree, or seeking financial aid of any kind (Veteran benefits, Michigan Native Tuition Waiver, Pell Grants, Guaranteed Student Loans, BIA, Basic Grants, etc.) Apply for Admissions at www.lssu.edu/apply.

Email *

Citizenship - All Non-U.S. Citizens must apply for admission into a degree Program. Are you a U.S. Citizen? *

Yes

Last Name *

First Name *

Middle Name

Date of Birth (used to verify our records) *

YYYY

Email Address *

Street Address *

City *

State *

Zip Code *

Home/Cell Phone *

Other Information

Gender

Male

Female

Other

Clear selection

Are you a high school graduate? *

Yes

High School Name *

High School Location *

Are you currently enrolled in high school? If yes, see the Registrar's office for additional information that must be completed. *

Yes

Have you previously attended LSSU? *

Yes

Under what name were you last enrolled at LSSU?

Have you attended other colleges/universities? *

Yes

If yes, name of school(s)

Dates attended:

Total approximate semester credits earned to date from all colleges attended? *

0-25 (Fr.)

26-55 (So.)

56-87 (Jr.)

88+ (Sr.)

State or province you were born:

Country:

State in which you are registered to vote? *

How many years have you lived in Michigan? If less than 1 year, enter 0. *

Ethnic/Race: Optional Information for Statistical Purposes

Indicate all races that apply among the following:

White

Asian

Black or African American

Canadian Aboriginal - Tribe

American Indian or Alaskan Native - Tribe

Native Hawaiian or Pacific Islander

Clear selection

Check your ethnicity:

Hispanic or Latino

Not Hispanic or Latino

Clear selection

Are you a veteran of the armed forces?

Yes

Clear selection

Course Registration

All stated prerequisite or co-requisite requirements for any courses you wish to register for will need to be satisfied. If you have questions about specific course prerequisite requirements, please consult the academic catalog or the instructor of the course. You may reach the instructor by calling the academic department responsible for the course. For further information, see Lake Superior State University's Student Registration Guide "Prerequisites/Co-requisites" information.

Semester the Course(s) is Offered? *

Summer (May - August)

Fall (August - December)

Please indicate the class(es) that you would like to take by providing the Subject, Course Number, Section, Credits, & Title (ex: ARTS110-001, 3 Credits, Fundamentals of Drawing) *

Terms of Registration

By submitting this registration form, I understand that I am responsible for all costs associated with the class or classes regardless of attendance and will receive a grade at the end of the semester. If I decide to withdraw, it is my responsibility to formally drop my class or classes. I will follow the Add/Drop/Withdrawal Policy as outlined on Lake Superior State University's Course Registration Information webpage at http://www.lssu.edu/scheduling/add_drop.php. If I have questions or concerns regarding the above information or Lake Superior State University's Add/Drop Policy, I will contact the Registrar's Office at 906-635-2682.

Do you agree to the Terms of Registration? *

Yes

Send me a copy of my responses.

Submit

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