Distance Education Registration Request Form

For use by currently admitted Appalachian State students seeking to enroll in a
Distance Education Course. ALL FIELDS ARE REQUIRED (incomplete forms cannot be processed)

Students who have experienced a "stop out" for one or more spring or fall semesters must first be readmitted to the University before requesting a course. Please visit our readmission page for additional information.


Your Current Information
Student Status: Main Campus Student Distance Ed Student
Student Type: Undergraduate Degree Seeking
Undergraduate Non-Degree / Licensure Only
Graduate Degree Seeking
Graduate Non-Degree
First Name:
Last Name:
ASU Email:
Day Phone:
Area code - Number
Student ID #:
Current Major:
Information About the Course You're Requesting
Year:
Term:
CRN:
Course Number :
Section Number :
(Distance Ed) Course Title:
Distance Ed Program in which
Course is Offered
:
WaitListed?:
Reason for Request:
(This is important in cases where space is very limited. Examples: "I need this course to graduate this semester." , "I was not able to take this course with my Distance Ed Program.")