Please fill out the following information to register for the ELL. Please direct any questions regarding this registration form to Kim Moreno,
km-moreno@wiu.edu
or (309) 762-3999 ext.62325
First Name
*
Last Name
*
Student ID# (please only enter the LAST 8 digits of your WIU student ID)
*
WIU Email address
*
Phone Number
*
-
Area Code
Phone Number
Major
*
Advisor's Name
*
Choose the session for which your are registering:
*
Fall
Spring
Summer
Submit
Should be Empty: