Special Student Registration Form

This form is required for non-degree-seeking students registering for 5 or fewer credits. If you are seeking a degree from Northland College or wanting to register for more than 5 credits, please contact the Office of Admissions.

Note: After submitting this form, students will need to provide their social security number to complete registration. Please contact the Registrar's Office at 715-682-1227 to do so.

Student Information

First Name

Middle Initial

Last Name

Date of Birth

Citizenship Status

Country of Citizenship

Ethnicity

Hispanic/Latino

Not Hispanic/Not Latino

Gender

Email

Primary Phone Number

Primary Phone Type

Mobile

Landline

Home Address

Country

Street

City

Region

Postal Code

Course Registration Information

Have you attended Northland College before?

Yes

No

Are you pursuing a degree at Northland College?

Yes

No

Please select the term and year you are registering for:

Term

Year

Course Selection

If you are registering for coursework associated with the Outward Bound Program, please select 'Outward Bound Registration'. For all other registrations, please select 'Non-Outward Bound Registration'.

Outward Bound Registration

Non-Outward Bound Registration

You can use the public course search to find the correct class number, section, title, and credits.
Note: The division dropdown automatically defaults to 'graduate'. You'll need to adjust the division to 'undergraduate' before you search.

DeleteCourse _ID_
Course Selection
Department Course # Section Course Title # of Credits or 'A' for Audit

Click here to add another course

Course	Course Duration	# of Credits
OED 131	Select when enrolling in 7-14 day courses	1
OED 331	Select when enrolling in 15-39 day courses	3
OED 431	Select when enrolling in courses 40 days or more	12

Based on the table above, please select one of the following courses:

OED 131 - 1 Credit

OED 331 - 3 Credits

OED 431 - 12 Credits

Outward Bound Course Code

Outward Bound Course Name

Outward Bound Course Start Date

Outward Bound Course End Date

Course Length

Fee & Payment Information

The Registrar's Office will be in touch with you soon to confirm the amount and provide further instructions about payment.

I would like to pay via:

Check

Credit Card

Cash

Student Signature

By signing below, I agree to pay the amount of tuition and other course fees assessed to my student account.

Student e-Signature

Date