Non-Degree Pre-Registration Form

Thanks for choosing to take classes at Eastern Washington University!
Fill out this form if you plan to take classes, but do not plan to pursue a degree at EWU.
If you plan to pursue a a degree at EWU, please complete our application for admission.

Personal information

First Name

Middle Name

Last Name

Email Address (Only enter the student's email. Use your personal email address instead of your high school email address.)

Birthdate

Legal Sex

Gender: When selecting your gender, X includes but is not limited to intersex, agender, transgender, androgynous, two-spirit, and/or unspecified.

If you are from a veteran background, please select what best describes you below

How did you hear about us?

Residency

Driver License Number

Driver License Issuing State

Have you been a resident of Washington state for the last 12 months?

Indicate the date of your arrival in WA

Race and Ethnicity (Optional)

Colleges and universities are asked by many groups, including the federal government, accrediting associations, college guides, and newspapers, to describe the ethnic/racial backgrounds of their students and employees. In order to respond to these requests, we ask you to answer the following two questions.

Are you Hispanic or Latino?

Race/Ethnicity (Optional).

Please select your tribal affiliation if applicable

Citizenship Information

Country of Birth

Country of Citizenship

Visa Type (for a green card, select PR)

Visa Expiration Date

Are you interested in the DACA/Dreamer program?

Contact Information

Cell Phone Number

Family Phone Number

Please text me important personal messages related to my enrollment status. (highly recommended)

Mailing Address

Country

Street

City

Region

Postal Code

Permanent Address

Country

Street

City

Region

Postal Code

Most Recent High School Information

High School Name (search for your school name and if it is not found, select "Unknown High School")

Type of School

High School Location

Country

City

Region

Postal Code

High School Graduation Date

Most Recent College/University Information

College/University Name (search for your school name and if it is not found, select "Unknown College or University")

Type of School

Country

City

Region

Postal Code

Attended From

Attended To

College Graduation Date

Degree

Submission Term

Please select a term

Spring 2024 (March)

Summer 2024 (June)

Educational Goal

What's your primary educational goal? (select one)

Transfer credits from EWU to another school

Take classes to upgrade my job skills but do not plan to pursue a degree

Take classes to upgrade my job skills and might pursue a degree

Take classes for my own personal enrichment

Non-Degree Information

Non-Degree Pre-Registration Consent

As a non-degree seeking student I understand that:

I may enroll for no more than two quarters, at which time I must submit an Application for Admissions, application fee and official transcripts.
I am not officially admitted to the University and therefore am not eligible to apply for financial aid.
I will be held academically responsible for all registered and waitlisted course selections I make.
I agree to review and abide by the EWU Student Conduct Code.
My student account balance is due in full on the 5th class day of the quarter regardless of whether I received an e-bill statement.
Any billing notifications will be sent to my Eagles e-mail account.
I understand that failure to pay may result in holds, delayed registration in future terms, late fees, and/or a hold on my records and services.
I further understand and agree that I will be liable for all collection and/or legal costs related to the collection of any unpaid charges on my student account.
I understand that I will not be automatically withdrawn from my classes for non-payment or non-attendance, formal withdrawal from the University is required.
I consent to receive my annual 1098T statement electronically via EagleNET.

By typing your full name in the box below, you acknowledge that you have read and agree to the above.

Major (Hidden)

Non-Matric Cohort (Hidden)