Online Degree Completion Class Visit Form

Student Information

First Name

Last Name

Preferred First Name

Pronouns

Phone Number

Email Address

Birthdate

Mailing Address

Country

Street

City

Region

Postal Code

Academic Information

Student Type

Start Term

For which major would you be interested in shadowing a class? Select all that apply.

Which week nights (Mon-Thurs) are best for you to shadow? Classes are an hour and 20 minutes and happen between 6pm - 9:20pm EST.

Other Information

Do you require any accommodations (physical or otherwise specified)

Resources