Part-Time Non-Degree Student - Online Course Registration Form
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
.
* Required
Email address
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Your email
Citizenship - All Non-U.S. Citizens must apply for admission into a degree Program. Are you a U.S. Citizen?
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Yes
No
Last Name
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Your answer
First Name
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Your answer
Middle Name
Your answer
Date of Birth (used to verify our records)
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MM
/
DD
/
YYYY
Email Address
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Your answer
Street Address
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Your answer
City
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Your answer
State
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Your answer
Zip Code
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Your answer
Home/Cell Phone
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Your answer
Other Information
Gender
Male
Female
Other
Clear selection
Are you a high school graduate?
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Yes
No
High School Name
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Your answer
High School Location
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Your answer
Are you currently enrolled in high school? If yes, see the Registrar's office for additional information that must be completed.
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Yes
No
Have you previously attended LSSU?
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Yes
No
If yes, indicate the term/semester and year attended.
Your answer
Under what name were you last enrolled at LSSU?
Your answer
Have you attended other colleges/universities?
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Yes
No
If yes, name of school(s)
Your answer
Dates attended:
Your answer
Total approximate semester credits earned to date from all colleges attended?
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0-25 (Fr.)
26-55 (So.)
56-87 (Jr.)
88+ (Sr.)
State or province you were born:
Your answer
Country:
Your answer
State in which you are registered to vote?
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Your answer
How many years have you lived in Michigan? If less than 1 year, enter 0.
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Your answer
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
No
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?
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Fall (Sept - Dec)
Spring (Jan - April)
Summer (May - August)
Winter (December - January)
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)
*
Your answer
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
No
Send me a copy of my responses.
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