Distance Education Registration Form for Continuing Students


If you are a new student you must apply for admission.
Semester:    Spring 2014    Summer 2014 Fall 2014
(Note: If you are registering for both summer and fall, you must submit a separate registration form for each term.)
Classification: Undergraduate    Graduate
(Note: If you have received a bachelor's degree from a regionally accredited college or university and the course you are taking carries major or minor graduate level credit, you must apply as a graduate student prior to registration.)

Last (Family) Name
First (Given) Name
Middle Name
Previous Name
If your name changed since last enrollment, give former name.
 
Social Security Number *
University ID
ISU Net ID
 
Street Address
City
State/Province, Country
Zip Code
County (Iowa Only)
Primary Email Address
E-mail will be used for questions concerning your registration.
 
Daytime Phone Number --
Evening Phone Number --
Birthdate   

Please enter the information for the course(s) you would like to enroll in.
Course Information
Course
Dept
Course
Number
Sect** Credit
Hrs
**The Sect code is 2-characters beginning with X. Please visit the Schedule of Classes to view course section designators.
Note: Tuition, mandatory fees, and a delivery fee will be billed as applicable. For further information please visit the Distance Education Tuition and Fees page.

To have a copy of your billing statement sent to an employer or third party, please complete the Account Info Release form in the Account/U-Bill section of AccessPlus. There will be an additional $5 charge per semester for this service. Please login to AccessPlus to complete the process.

By submitting this registration form, I am requesting registration in the course(s) above and agree to pay applicable tuition and fees if registered. I understand that cancelling or withdrawing may affect my financial obligation to the University. I certify that all statements in this application are complete and true, and that Iowa State University has my permission to obtain certification of my baccalaureate and/or high school graduation.

I understand and accept these terms

Please verify all the above information is correct before sending the registration form.



* Disclosure of your Social Security Number ("SSN") is requested for the student records system of Iowa State University. Federal law requires that you provide your SSN if you are applying for financial aid or desire to claim federal educational tax benefits. Although a SSN is not required for admission to Iowa State, your failure to provide a SSN may delay the processing of your application. Your SSN is maintained and used by Iowa State for financial aid, internal verification, and administrative purposes, and for reports to Federal and State agencies as required by law. The privacy and confidentiality of your SSN is protected by Federal and State law and Iowa State will not disclose your SSN without your consent for any other purposes except as allowed by law.