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Extension Online Registration Form

Use the form below to register for Extended Education classes and pay online. If you do not wish to pay online, or if you are having trouble with this form, please use the downloadable form and mail it to the address at the bottom of this form (Adobe Reader required). You may also call 707-826-3731 to register with a credit card (Visa, MasterCard or Discover).

NOTE: With the exception of online courses, this form can't be used to submit Open University or Graduate Continuous Enrollment registrations. Please use the Open University online registration form to register for regular university courses (you will need a permission number from the instructor of each class to register). Refer to the current semester's calendar to avoid late fees. For information regarding Graduate Continuous Enrollment registration, e-mail Extended Education.

Those registering for OLLI courses should use the OLLI registration form.


Student Information

= Required field

Select your gender:

Have you ever been enrolled at Humboldt State University?

Have you completed a Bachelor's Degree or higher?

Secure Information

Please supply the following information: Social Security Number/HSU 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 HSU ID (000-00-0000):required

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

required

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:

 
Courses

Enter the course information for the you want to take.

Course 1
Course 2
Course 3


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