Course Registration Form
This form may only be used when unable to register in Self-Service
Name
*
First Name
Last Name
Student Email
*
example12345678@yosemite.edu
Phone Number
*
Please enter a valid phone number
Student ID
*
(W number)
Date of Birth
*
-
Month
-
Day
Year
Date
Semester
*
Please Select
Fall
Spring
Summer
Semester of the class you wish to register into
Section Number
*
This is always a four digit number
Course Name & Number
*
Example: CENGL-1A
Do you have additional courses to add?
*
Yes
No
Back
Next
Section Number
Example: 3455
Course Name & Number
Example: CENGL-1A
Section Number
Example: 3455
Course Name & Number
Example: CENGL-1A
Section Number
Example: 3455
Course Name & Number
Example: CENGL-1A
Section Number
Example: 3455
Course Name & Number
Example: CENGL-1A
Section Number
Example: 3455
Course Name & Number
Example: CENGL-1A
Section Number
Example: 3455
Course Name & Number
Example: CENGL-1A
Section Number
Example: 3455
Course Name & Number
Example: CENGL-1A
Back
Next
In order to verify your identity, we need a copy of your ID, would you like to attach by:
*
Uploading photo of your ID (preferred)
Taking a photo of your ID (preferred)
Other
Please specify how you will submit your ID
*
This option should only be used if the other two are not a viable option for you
Take Photo
*
File Upload of ID
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Permission to Register
*
By checking this box, I give Columbia College permission to register me into the course(s) listed on this form.
Submit
Should be Empty: