Stop: Do not complete this form unless you have first completed the financial aid, housing, and orientation forms.

I acknowledge that I have completed the Online Orientation portion of my application.

Yes

No

I acknowledge that I have completed the FAFSA form. The Institutional Financial Aid form will be available and required once it opens on November 16th. (It opens early exclusively for Jumpstart registrants.)

Yes

No

I acknowledge that I have completed the housing form or applied for an exemption by reaching out to housing@sebts.edu.

Yes

No

I acknowledge that I have completed the FERPA form to give permission to release my information to parents/guardians.

Yes

No

Personal Information

First Name

Middle Name

Last Name

Student Email Address

Student ID Number

Birthdate

i

Birthdate

i

Mailing Address

Country

Street

City

Region

Postal Code

Emergency Contact Information

Name of Emergency Contact

Emergency Contact Email Address

Emergency Contact Phone Number

Registration Information

Will you have any guests attending with you?

Yes

No

How many guests will be joining you?

Please list the names of guests (please include relationship and ages of any children).

Do you or your guests have any special accommodation requests?

None

Dietary

Mobility

Other

If other, please explain.

Please describe the mobility accommodation needs.

Please describe the dietary accommodations needs.

Academic Information

How many of the classes would you like to take online?

All

Some

None

For your desired in-person classes, select what times of day you would prefer for Monday through Friday classes?

Morning

Early Afternoon

Late Afternoon

How many hours would you like to register for?

Please list any additional class schedule accommodations you need.

Would you like an official transcript evaluation of your transcripts?

Yes

No