College of Extended Education and Global Engagement

In partnership with the

NCSOE Coursework
Retroactive Credit Registration Form

Retroactive registrations for academic credit are allowed up to one year following the academic term in which you participated. For example, if you participated in spring 2021, you must request academic credit no later than the end of spring term 2022.

Please use this form to purchase credit for NCSOE coursework.
Upon your submission of this form, you will be directed to the CASHNet online payment system,
where you will enter your credit card (VISA/MC/Discover) or electronic check information.

NOTE REGARDING TRANSCRIPTS:
Please wait until you receive your enrollment confirmation from extended@humboldt.edu
letting you know you've been registered, before you order your official transcript.
If you do not see the confirmation in your inbox, please check your spam folder.
You may also want to check your unofficial transcript (via Student Center) BEFORE you request your official Humboldt transcript.
If you don't take this step, you will pay for and possibly receive anofficial transcript that does not include your retroactive course.
You will then need to wait until your retroactive course appears on your
unofficial transcript, and have to make another transcript request.

Student Information

= Required field

First Name

MI

Last Name

E-mail Address

Mailing Address

Mailing Address Line 2

City

State/Province/Region

Country

ZIP/Postal Code

Daytime Telephone (include area code)

Mobile Telephone (include area code)

Select your gender:

Male

Female

Decline to state

Have you ever been enrolled at Cal Poly Humboldt?

YES

NO

List all previous names you have used. (Examples: Birth Name, Maiden, Previous Marriage, Legal Name Change)

Have you completed a Bachelor's Degree or higher?

YES

NO

Secure Information

Please supply the following information: Social Security Number/Humboldt ID and Date of Birth
This 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.

Social Security Number or Humboldt ID ( 000 - 00 - 0000):
- -

Your date of birth is required so that Cal Poly Humboldt may identify records that are unique to you.

Month:
Day:

Year (4 DIGIT):

Retroactive Course Credit Information

You are applying for retroactive credit for the following course:

Units

Subject/Catalog #

Class #

Course Title

Fee ($)

Total class fees:

TOTAL: $

Submit the form

Please check the box to confirm you are a human before you submit this form.
You may also be required to verify one or more Recaptcha images. Thank you for helping us prevent spam.
Please review the above information for accuracy before submitting this registration form.

Once you submit the form successfully, you will be directed to the payment system.

NCSOE Coursework Retroactive Credit Registration Form

Secure Information

NCSOE Coursework
Retroactive Credit Registration Form