Blackburn College Registration Form for Summer 2018 Courses
1. If you are a current Blackburn student you must see your Academic Advisor or the Records Office to register for Summer courses.
2. All others, please provide all required information on the following form. Incomplete forms cannot be processed.
3. If you are registering for a class with prerequisites, you will need to email proof of prerequisites to
or contact the Records Office (217) 854-5772.
4. Once completed, this form will be processed within three (3) business days. At that time payment arrangements can be made at the Blackburn College Business Office. They cannot accept payment until your registration form has been processed.
5. After registration is complete, any course changes can be made through the Records Office.
Questions? Contact the Blackburn College Records Office.
American Indian or Alaska Native
Black or African American
Hispanic of any race
Native Hawaiian or Other Pacific Islander
Two or more races
Prior Education Information
Did you graduate from high school?
If YES, date of graduation
Name of High School
Location of High School
If NO, Did you complete the GED?
Date of GED
Have you previously attended Blackburn College?
If YES, provide dates of attendance.
If you attended Blackburn under a different name (maiden or married) please include that name here.
Have you previously attended another college or university?
If YES, provide the name of the college(s) and university(ies).
Degree(s) earned, if any:
For information on withholding directory information contact the Records Office.
For Our Information
How did you hear about Blackburn's Summer Sessions?
A Friend, Co-worker
A Blackburn Faculty, Staff or Student
For course descriptions, dates, times or course delivery format (online, blended) visit our website to consult the Summer 2018 Course Offering. Check the box next to the course you would like to enroll.
AR 151 - Art Appreciation
AR 170 - Foundations: Basic Drawing
AR 254 - Women in Art from the Renaissance to the Present
AR 270 - Studio Course: Drawing
AR 370 - Studio Course: Advanced Drawing
AR 470 - Studio Course: Senior Drawing
BI 210 - Human Nutrition
ED 430 - Methods of Teaching Special Education
ED 432 - Characteristics of Individuals with Disabilities
ED 434 - Assessment in Special Education
ED 439 - Learning Behavior Specialist I Practicum
EN 200 - Special Topics in Literature - Graphic Narratives
HI 152 - World History Survey since 1500 - Asian Emphasis
HI 355 - Topics in World History - World War II
MU 236 - History of American Music - Country Music
PE 100 - Basic Fitness
PS 102 U.S. National Government
PS 340 - Politics and the Media
PY 101 - General Psychology
What about Payment?
Tuition cost per credit hour for Summer 2018 courses is $226 per credit hour, or a total of $678 for each 3 credit hour course. The Blackburn Business Office offers a three (3) installment payment plan for Summer tuition. Full payment, or payment arrangements, must be made prior to beginning your class to guarantee space in the course. If you register for a class and decide not to attend the class please notify the Records Office to drop the course. All registrations that have not been paid, or payment arrangements made, will be dropped within the first five (5) days after the course has begun.
You must agree to the following to register for courses at Blackburn College: I understand I am responsible for all applicable Blackburn College academic regulations, tuition and fees whether or not I successfully complete the course or courses in which I am enrolling. I promise to pay attorney’s fees and other reasonable collection costs necessary for the collection of any amounts owed Blackburn College.
I understand and agree to this Blackburn College policy.
This Summer session registration you submit will be processed within three (3) days. After the form is processed, you will be issued Blackburn College Student Portal and Blackburn email credentials which will be mailed to you via USPS. Log in instructions will be enclosed with your credentials.
Tuition payment can then be made once your form has been processed by contacting the Blackburn College Business Office at (217) 843-5515 for details of payment plan or to provide your credit card information. Please do not call the Business Office as soon as the form is submitted as they can only accept payment for processed registrations.
When you click “submit” you should receive a “Thank You” message and the form has been successfully submitted. If you do not receive the message, scroll the form for any missing information that is requested. Once completing the requested information you must click “submit” again.
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