Enrollment Fee Form

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Enrollment Fee student registration

E-mail

First Name Required Field

Last Name

Primary Phone Required Field

Birthday (Month/Day/Year) Required Field

Address 1: Required Field

Address 2:

State:

Zip:

Sex:

Gender Identity: If you would like the opportunity, we invite you to share more about your gender identity.

What type of degree are you seeking? Required Field

Entering Class: Required Field

Are you are a transfer student? Required Field

Are you are a transfer student? Yes
No

Please enter "1" in the quantity field to submit your nonrefundable enrollment fee: Required Field

Quantity:
$275.00