Student Information

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Please answer the following:
Are you a U.S. Citizen?*
Select your gender:*     Decline to state
Have you previously been enrolled at HSU?* 
Have you completed a Bachelor's Degree or higher? *

Additional Student Information

This sensitive information is submitted via SECURE SERVER, and is requested pursuant to Section 41201, Title 5, Calif. Code of Regulation and Section 6109 of the Internal Revenue Code.
Why do we ask for your Social Security Number? (opens new window)

Your date of birth is requested so that Humboldt State University may identify records that are unique to you.

Enter your date of birth:*                      

If any of your courses include academic credit, you MUST provide the following:

HSU ID NUMBER or Social Security Number (000 - 00 - 0000):*   -     - 
Race/Ethnicity Information

[Your voluntary response is requested to comply with Federal and State legislation.]
If the California State University system is asked to report only ONE summary race/ethnicity
description for you, choose the ONE category below that you want us to report:

Course Information

Enter the course information for each course you want to take.

Units Subject/Cat. # Class # Instructor's
Last Name
Course Title/Topic


Total Fees for Classes
I.D. Fee
Materials Fee
Late Fee


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Please review the above information for accuracy before submitting this registration form.


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