Use this form to join OLLI, renew your membership, and/or register for courses.
* = Required field
Select your gender identity:*
Have you ever been enrolled at Cal Poly Humboldt?*
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?*
Please supply the following information. 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.
Date of Birth
Your date of birth is required so that Cal Poly Humboldt may identify records that are unique to you.
Select one membership option. *
Nonmembers: By checking "Nonmember" in this section, a $25 per course nonmember fee will be automatically added for each course you list on this form.
Enter the course information for each course you want to take. Click "Add another course" to register for more than two courses.
Course 1
* Please select how you want to pay your fees. If you will not pay online upon submitting this form, please select one of the other payment options. If you don't owe a fee, check "no payment is due."
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 this form, you'll be sent to the payment portal.