ESL Registration

Registration Information

Loading...

You selected to register for :

Spring 2021 Term I

January 20 - March 16, 2021
Last Day to Register: January 15

Total Fee : $982.45
(Tuition: $943.45 + Lab Fee: $21.00 + ID Fee: $18.00)

Personal Information

{{ errors.first('first_name') }}
{{ errors.first('middle_name') }}
{{ errors.first('last_name') }}
To change the month, click on the left and right arrow on the date popup box. To change the year, click on the year and type in the year or click on up and down button.
{{ errors.first('birthdate') }}

Citizenship Information

{{ errors.first('citizenship') }}
  
{{ errors.first('living_in_us') }}
{{ errors.first('visa_status') }}
{{ errors.first('other_visa_status') }}

Contact Information

{{ errors.first('mailing_address') }}
{{ errors.first('city') }}
{{ errors.first('state') }}
{{ errors.first('zipcode') }}
{{ errors.first('primary_phone') }}
{{ errors.first('alt_phone') }}
{{ errors.first('email') }}

Student Identification Number

  
{{ errors.first('has_wnumber') }}
{{ errors.first('wnumber') }}