Center for Student Success Enrollment and Registration

Confirmation of Fall Enrollment and Registration

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Do you plan to enroll for Fall 2021?

If you answered ‘No” to this question DO NOT CONTINUE

Confirm your participation in the registration session on the date assigned to you: (check one)

Prefix: Mr. Ms. Mrs. Miss.

First Name

Last Name

Suffix: Jr. Sr. I II III IV

Student Number (if you have one)

Date of Birth

Email Address

Phone Number

Street Address

City

State

Zip

Student Status (Check One)

What is your Major? Accounting (Associate of Science-AS) Accounting Technology Clerk (Certificate of Technical Studies- CTS) Airframe and Powerplant Maintenance (Technical Diploma- TD) Biology -Concentration (Associate of General Studies- AGS) Business Administration- Concentration (Associate of General Studies-AGS) Business Management (Associate of Science-AS) Chemistry - Concentration (Associate of General Studies- AGS) Computer Information Systems (Certificate of Applied Science- CAS) Computer Networking Technology (Certificate of Technical Science- CTS) Computer Science (Associate of Science-AS) Computer Science – Concentration (Associate of General Studies-AGS) Criminal Justice Administration (Associate of Applied Science- AAS) Criminal Justice-Concentration (Associate of Arts/Louisiana Transfer- AALT) Dental Hygiene (Associate of Applied Science- AAS) Dialysis Technician (Certificate of Technical Studies- CTS) Elementary Education- Concentration (Associate of General Studies- AGS) Emergency Medical Technician-Basic (Certificate of Technical Studies- CTS) Emergency Medical Technician-Paramedic (Technical Diploma-TD) Fine Arts-Concentration (Associate of Arts/Louisiana Transfer-AALT) Foreign Language-Concentration (Associate of Arts/Louisiana Transfer-AALT) General Business-Concentration (Associate of Arts/Louisiana Transfer-AALT) General Education-Concentration (Associate of General Studies-AGS) Health and Physical Education-Concentration (Associate of General Studies-AGS) Health Information Technology (Associate of Applied Science- AAS) Healthcare Access Associate (Certificate of Technical Studies- CTS) Hospitality Operations -Concentration (Associate of General Studies- AGS) Human Services (Associate of Science-AS) Humanities -Concentration (Associate of Arts/Louisiana Transfer- AALT) Journalism-Concentration (Associate of General Studies- AGS) Mass Communication-Concentration (Associate of General Studies- AGS) Mass Communication-Concentration (Associate of Louisiana Transfer- AALT) Mathematics -Concentration (Associate of General Studies- AGS) Medical Coding Specialist (Certificate of Applied Science- CAS) Medical Laboratory Technician (Associate of Applied Science-AS) Phlebotomy (Certificate of Technical Studies- CTS) Physical Sciences-Concentration Associate of Science/Louisiana Transfer (ASLT) Physical Science-Concentration Associate of General Studies (AGS) Physics-Concentration Associate of General Studies (AGS) Polysomnographic Technology (Associate of Applied Science- AAS) Practicing Nurse (Continuing Education/Non-Credit Program) Pre-Engineering-Concentration (Associate of General Studies- AGS) Psychology-Concentration (Associate of General Studies- AGS) Radiologic Technology (Associate of Applied Science- AAS) Registered Nursing (General Track) (Associate of Science in Nursing- ASN) Respiratory Therapy (Associate of Applied Science- AAS) Science/Pre-Allied Health-Concentration (Associate of General Studies- AGS) Social/Behavioral Sciences-Concentration (Associate of Arts/Louisiana Transfer-AALT) Sociology-Concentration (Associate of General Studies- AGS) Speech Pathology-Concentration (Associate of General Studies- AGS) Sterile Processing Technician (Certificate of Technical Studies- CTS) Surgical Technology (Associate of Applied Science- AAS) Web Development (Certificate of Applied Science- CAS)

What is your career interest as identified in your career O*Net Interest Profiler

My preferred enrollment status:

My preferred time to attend class:

My preferred instructional delivery format is: