Non-Degree Registration

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Once you have found courses on Self-Service you wish to register for, please complete this form. Please note: Upon submission of this form you are registering for the course(s) indicated and will be responsible for payment upon receipt of billing.

Please note: Upon submission of this form you are registering for the course(s) indicated and will be responsible for payment upon receipt of billing.

Have you ever attended Elmhurst University?

eNumber - Dependent

Are you currently attending another institution?

Other Institution Name

Number of courses you wish to register

Course Registration

First course

Please include Dept. No. Section and Title.

Second course

Please include Dept. No. Section and Title.

Third course

Please include Dept. No. Section and Title.

Fourth course

Please include Dept. No. Section and Title.

Term

Date of Birth

MM/DD/YYYY

Gender

Female Male

Ethnicity

Street Address

City

State

ZIP Code

Other Fields

Your name

Your email address

Your phone number

Verification Code