Continuing Education Form

TROY University Dothan Campus
CONTINUING EDUCATION CENTER
Tel: 334-983-0005

For a record of your enrollment, print out this page. If you do not want to submit this form online, print it and mail it to: Continuing Education Center, P.O. Box 8368, AL 36304. Or fax the form to 334-983-0009.

This form is for Continuing Education classes only.

Do not use this form to register for Undergraduate or Graduate courses.

* Required Field
*Select a Term of Enrollment:


**Last Name*:	**First Name*:	*Middle:*

*Current Address:

Street:

City:

State:

Zip:

*Home Phone:		Work Phone:
E-mail Address:

Course Information

*Course Title:

Course ID:

Course Start Date:

Section:

*Price:

Course Title:

Course ID:

Course Start Date:

Section:

*Price:

Course Title:

Course ID:

Course Start Date:

Section:

*Price:

*Pay Early Bird Rate if registering at least 10 days prior to start date.

*METHOD OF PAYMENT:

For credit card payment, call 334-983-0005 with card number and expiration date.
Cards accepted: Visa, MasterCard, Discover
Mail checks to: Continuing Education Center, P. O. Box 8368, Dothan, AL 36304
Payments may also be made in person at 501 University Drive, Adams Hall, Room 200.

Fees must accompany registration. Fees for online registration are expected within five days to be official. Students may cancel their registration at least two days prior to the start date of class to receive a full refund. In the event the Continuing Education Center cancels a class, each student will be notified at the daytime telephone number provided on the registration form and a full refund will be issued. Once a class begins, refunds will not be granted.
CEUs are awarded to students who satisfactorily complete noncredit courses. One CEU is equal to ten contact hours of participation in an organized continuing education experience. Official transcripts of CEUs are maintained in the Continuing Education Center according to name and social security number. To receive a transcript, a request must be made in writing and accompanied by a $3.00 fee.
It is the policy of Troy University to provide accessible programs, services, activities, reasonable accommodations, and a harassment-free environment, for any student or employee with a documented disability as defined by Section 504 of the Rehabilitation Act of 1973, as amended, and by the Americans with Disabilities Act of 1990. Individuals requesting accommodation should contact the Disability Services Coordinator (DSC) for their location. For the Dothan Campus, contact Keith Seagle, Malone Hall 120, (334)983-6556 extension 1-221.