Continuing Education Course and CEU Registration

Professional Studies and Continuing Education Course Registration Form
If you need help filling out this form please contact us:

Email PSCE on the RIC Campus

Email the Workforce Development Hub
Last Name*
First Name*
Middle Name
Maiden Name
Date of Birth*

MonthDayYear
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone Number

Area CodePhone Number
Mobile Phone Number*

Area CodePhone Number
Cell Primary Phone Number*

Area CodePhone Number
E-mail*
Confirm E-mail*
Legal Sex*
Gender
Please check if you have taken classes at RIC previously
If known, please include your RIC Student ID
Please check if you have completed a four-year degree from a college or university
Are you a U.S. citizen?

YesNo
Please check if you self-identify as Hispanic/Latino
Please check your ethnic group from the following list*

American Indian or Alaska NativeAsianBlack or African AmericanHispanic or LatinoNative Hawaiian or Other Pacific IslanderNot SpecifiedWhite
COURSE INFORMATION

Please review printed course registration information and instructions provided by RIC and distributed by the course sponsor.
Semester
Course Title
Discipline
Course Number
Course Sponsor
Section Number
Course Call Number
Course Fee ($)
PAYMENT INFORMATION
Third Party Payment
Please Provide the information below for payment through a third-party agency. Student is responsible for all third party arrangements and for securing payment to Rhode Island College.
Agency Name
Contact Person

First NameLast Name
Phone Number

Area CodePhone Number
E-mail
Should be Empty:

Professional Studies and Continuing Education Course Registration Form