Request to Complete College Courses for Current HS Students

Please have all course registration information available before beginning registration. Registration cannot be completed without the following course information: Department, Course Number, Title, and Credits. The course catalog can be found at http://catalog.creighton.edu/

Demographic and Contact Information

First Name

Middle Name

Last Name

Mailing Address

Country

Street

City

Region

Postal Code

Email Address

Social Security Number

Birthdate

Birth City

Birth State

Birth Country

Citizenship

If not a citizen, are you a Permanent Resident?

Yes

To comply with federal law, Creighton University is required to provide the following racial/ethnic information (students are not required to complete this information, it is optional):

Do you identify as Hispanic?

Yes

Sex

Female

Male

Have you previously been enrolled at Creighton University?

Yes

If yes, when (mm/yy)

Expected year of high school graduation

Course #1 Registration

Dept

Course Number

Course Section

Course Title

Credits

CRN Number

Would you like to register for a second course?

Yes

Course #2 Registration

Dept

Course Number

Course Section

Course Title

Credits

CRN Number

Would you like to register for a third course?

Yes

Course #3 Registration

Dept

Course Number

Course Section

Course Title

Credits

CRN Number

Would you like to register for a fourth course?

Yes

Course #4 Registration

Dept

Course Number

Course Section

Course Title

Credits

CRN Number

Would you like to register for a fifth course? (you may not register for more than 5 courses at this time)

Yes

Course #5 Registration

Dept

Course Number

Course Section

Course Title

Credits

CRN Number

High School Transcript

Please upload your high school transcript. Should you not have access to your high school transcript for any reason, please provide a statement of academic preparation or preparedness for the course being requested. Also, if you have taken any previous college courses for credit, please include the transcript. Depending on the course being requested, additional information may be requested at a later time.

Comments or Additional Information (ex: I'm auditing the course, I've received prior approval for something, no transcript available, etc)

Policies and Signature

Academic Policies and Procedures can be found here.
Policies regarding repeating courses can be found here.

By electronically signing this form you acknowledge this course constitutes college credit and will be reflected on your permanent college transcript. You also acknowledge that you have read and understand all Creighton University academic policies and procedures.

I acknowledge I have read and understand the information listed and referenced above.

Student Electronic Signature

Date

If you need additional information or have any questions, please contact the Registrar's Office at 402-280-2702.