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. For any questions, please contact the Registrar's Office at 715-682-1227.

Student Information

Legal First Name

Legal Middle Name

Legal Last Name

Preferred First Name

Date of Birth

Citizenship Information

Country of Primary Citizenship

Country of Dual Citizenship

Permanent Resident of United States

If you currently hold a valid US visa or are the dependent of someone who holds a valid US visa, please indicate the type

Social Security Number

Demographic Information (optional)

Gender

My gender is not listed

Gender

Are you Hispanic or Latino?

Yes

Regardless of your answer to the prior question, please check one or more of the following groups in which you consider yourself to be a member:

Contact Information

Email

Primary Phone Number

Phone Type

Mobile Phone

Landline

Northland College Office of Admissions may send occasional text messages with application details, financial aid information, and upcoming visit invitations (SMS data rates may apply). Do you consent to receiving text messages from Northland College?

Yes

Home Address

Country

Street

City

Region

Postal Code

Course Registration Information

Have you attended Northland College before?

Yes

Are you pursuing a degree at Northland College?

Yes

Please select the term and year you are registering for:

Year

Term

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_
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

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

Student e-Signature

Date