Enrollment Request Form for Visiting Students
Date:
*Required Fields
*
First Name
Middle Initial
*
Last Name
*
Last four digits of SSN
*
Date of Birth mm/dd
*
Cell Phone or Other
*
E-Mail Address
*
Current College/University
Current Major
Best Time to Contact
*
Sinclair Application Complete
Yes
No
*
When do you wish to start?
SELECT ONE
Summer 2009
Fall 2009
Winter 2010
Spring 2010
Summer 2010
Fall 2010
*
What course(s) you wish to take?
NOTE:
Be sure to check with an academic advisor at your home school to determine how the selected Sinclair course(s) will transfer back to your home school.
Human Validation
Please type the letters as you see them in the image above. The letters are case sensitive