Personal Information: |
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| First Name: |
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| Gender: |
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| Have you taken courses here before? |
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Yes |
| If yes, when? |
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Ethnic Origin (Optional): |
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| The school requests this information to comply with Federal Government Reporting Requirements |
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Student Visa Information: |
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| Are you currently a United States citizen? |
Yes
No |
| If no, what type of visa do you hold? |
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Courses: |
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| Please select course(s) for which you are registering. If you do not see a course listed that you would like to register for please call Continuing Education at (617) 994-4235 or (617) 994-4233. |
Course 1 |
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Course 2 |
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Course 3 |
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Course 4 |
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