Fill out the following information and click 'Submit'.

BEGIN SIGN IN FORM

Please read the following Warnings and Instructions and follow them exactly!
Failure to do so will result in this current form being Disallowed and discarded.


New fee for all students who registered on or after July 1, 2017.
ADMINISTRATIVE FEE
Please click the link below to access and submit the form if you are
taking courses to earn credits toward a degree.

A Waiver will gladly be granted if the fee will be a burden to you.
Proof of financial hardship must be established.
We do not anyone to drop out because of the fee.
It is only for those who can afford it.
Access the Administrative Fee form and the Waiver.
If you have already submitted the form, do not submit another.
ADMINISTRATIVE FEE FORM

UNUSED SIGN IN WARNING:
Unused Begin Sign In forms are purged after 30 days.
DO NOT submit the form until you are ready to begin
studying the course for which it was submitted.


WARNING for SLBC Moodle students:
If you submitted a multi-part Application form and were issued a
User Name and Password DO NOT USE THIS FORM!  You are
registered with our automated site at http://slbcrecords.org
and all of your tests, forms, and other communications must
be with that site directly and not through this current site.
If you are a SLBC Moodle student and submit this form,
it will be Disallowed and discarded and cannot be
placed in your Moodle-enabled academic file.

Only those students who were NOT ISSUED a User Name
and Password are allowed to use this current form.


ATTENTION:
Use only proper letter-case for all information submitted on this form.

Fully one third of students are ignoring these instructions.
Therefore, we are now forced to begin discarding those
Begin Sign In forms that do not follow this requirement.
Use of all upper-case or all lower-case letters is not allowed
when you input information into the Comments field on this
form. Also, when you input  your name on this form, the first
letter of each of your names must be upper-case and the
other letters of each name must be in lower-case.

This is a college and following instructions exactly
is expected for college-level students.


If you have ever submitted a Begin Sign In Form for this
course at any time, please mark this form as Amended. 
If this is the first time you have submitted this
form for this course, please indicate this
is an Original form.

*Original or Amended Begin Sign In Form: If you have ever submitted a Begin Sign In Form for this course at any time, please mark this form as Amended.  If this is the first time you have submitted this form for this course, please indicate this is an Original Application form.
Original Amended
*Student Last Name:Last Name is defined as your family name.
*Student First Name:First Name is defined as your given name.  Not your family name.
*Email:
*Verify Email:
*Is this a new email address: If this email address is not currently registered to your file with us, please mark this form - Yes, this IS a new email address. -  And then submit an Email Address Change form to register this new email address to your file.
No, this is NOT a new email address.
Yes, this IS a new email address.
If this is a new email, what was your old email address:
*Course: 

The next 2 fields require input of the minimum attendance figures for each course overall and for the individual lessons in each course.

    You will find those figures on the course main page.

*Required Weeks Minimum Attendance per Lesson: 
*Required Weeks Minimum Attendance for Course: 

*Country: Other:  
*Today's Date (use drop down calendar): This will be the date of your begin attendance:


Have you read the Test Policy in the yellow box with red
borders on the preceding page and do you agree with it?

*
Yes, I agree with the Test Policy.
No, I do not agree with the Test Policy- please do not enroll me in this course.
*Are you taking this course for credit toward a degree?
Yes, for credit. No, not for credit.
Comments:
500 characters remaining.


By clicking the following button I am verifying that I have used proper letter-case for all information
submitted by me on this form- including in the Comments field and in the Student First Name and
Last Name fields.  By clicking the button I am also verifying that I understand that if proper
letter-case is not used by me for all information on this form, that the form will be
disallowed and discarded and I will have to submit an Amended form using proper
letter-case for all information submitted on it.

*Proper case verification:
Yes.

Once you have submitted this form, you may begin the course immediately.
You must begin this course within 30 days of submitting this form.

Forms that are not used within that time will be discarded for non-use.


- - - - - - - - - - - USER NAME and PASSWORD - - - - - - - - - -
1. Not all students were issued a User Name and Password.
2. Only Moodle students were issued those two when they completed their Application forms.
3. Be careful to be accurate how you answer this question because it will determine
whether the form will be Accepted or Disallowed.
*Were you issued an official User Name and Password when you completed your Application forms?
Yes
No

Please indicate if you are taking Video College courses or not.

I am NOT taking Video College courses.
I AM taking Video College courses.
*