College for Life Registration Form

For more details on College for Life, see our webpage or call 217.641.4340. Students should fill out this form along with a parent/guardian.

1General Information > 2Additional Contact Information > 3Course Registration > 4Signature
I am registering for the following term:
Student Name Student Name First Middle Last
Date of Birth Date of Birth / MM / DD YYYY
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Phone - ### - ### ####
Email
Have you taken FYE 101 in the past?

Have you taken FYE 101 in the past? Yes No
Save my progress and resume later
Enter Your Email Address *

A special link to resume the form will be sent to your email address.