Enrolling in a course through Carolina Courses Online does not constitute admission to The University of North Carolina at Chapel Hill.
Payment is due at the time of enrollment. (UNC-Chapel Hill students: CCO course tuition is NOT included in the on-campus tuition. You must pay the Friday Center separately to enroll.) Print this form, complete it, and mail or fax it to the address indicated. Term of enrollment: Spring Fall Summer (one session from May-July) Social Security number: __________ - _____ - _________ |
Office Use Only: |
If you have been assigned a UNC-Chapel Hill Personal Identification number (PID) and/or an Onyen, please provide those:
PID Number: ____________-________________ Onyen: ______________________________
Legal name:______________________________________________________________________
E-mail address (please print legibly!)__________________________________________________
Current mailing address (your registration confirmation will be sent to this address):Street:_______________________________________________ City:______________________ State:________ Zip:___________ County (if NC) or Country:_________________________________ Daytime phone: (________)_______________________________ |
Address where you will reside at the beginning of the semester or summer session for which you are registering. (Write "same" if the same address as at left.)Street:_____________________________________________ City:______________________ State:______ Zip:___________ County (if NC) or Country:_______________________________ Daytime phone: (______)_______________________________ |
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| Birthdate:______________________________________ | Sex: M F | |
| Ethnic origin:
Asian/Pacific Islander Black, non Hispanic Hispanic Native American/Alaskan Native White Other______________ |
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| I am: a UNC-Chapel Hill full-time undergraduate student, currently attending a UNC-Chapel Hill Continuing Studies student, currently attending a UNC-Chapel Hill full-time or part-time graduate student, currently attending a UNC-Chapel Hill student, but academically ineligible (see Restoring Academic Eligibility ) a UNC-Chapel Hill degree-seeking undergraduate student, currently not attending a UNC-Chapel Hill graduate not a UNC-Chapel Hill student (never attended UNC-Chapel Hill). |
Do you have a bachelor's degree? yes no |
You may register for up to two courses. Indicate an alternate in case your first choice is full.
Course #1 (First choice): ______________________________________________________
(Second choice): _______________________________________________________
Course #2 (First choice): ______________________________________________________
(Second choice): _______________________________________________________
UNC-Chapel Hill students who are not currently attending or who are academically ineligible to attend UNC-Chapel Hill must obtain the signature of their academic dean (contact their advising office).
Advisor/Dean's signature___________________________________________________
Have you taken an online course at UNC-Chapel Hill before? yes no
Have you ever been subjected to disciplinary action by UNC-Chapel Hill or any other college? yes no. If yes, attach a statement of explanation.
Have you ever been declared academically ineligible by UNC-Chapel Hill or any other college or university? yes no
Please read the following residency statements carefully. US citizen: yes no. Permanent resident alien: yes no. Nonresident alien: yes no. If you are a UNC-Chapel Hill student and your residency has already been determined, please indicate your residency status: North Carolina resident for tuition purposes (You must also complete the residency status form and submit it with this enrollment form.) Nonresident for tuition purposes If you are not a UNC-Chapel Hill student please check one of the following: I request to be classified as a North Carolina resident for tuition purposes. I understand that until a final determination is made and I am notified in writing, I am to be considered a nonresident for tuition purposes. (Please complete the residency status form and submit it with this enrollment form.) I am a nonresident for tuition purposes. |
| Credit Hours | North Carolina residents | Nonresidents | ||||
| Tuition | Fee* | Total | Tuition | Fee* | Total | |
| 3 credit-hour course | $393 | $27 | $420 | $852 | $27 | $879 |
| 4 credit-hour course | $524 | $36 | $560 | $1,136 | $36 | $1,172 |
| 5 credit-hour course | $655 | $45 | $700 | $1,420 | $45 | $1,465 |
*There is an Education and Technology Fee of $9 per credit hour for each registration.
Tuition must be paid in full at the time of enrollment. Tuition and other charges are subject to change, based on legislative mandates. It is possible for tuition to change for a particular semester after students have enrolled. If this happens, you will be billed for any increases, and any overpayments will be refunded.
If you believe that you qualify as a North Carolina resident for tuition purposes, submit the fee for North Carolina residents. If you are determined not to be a resident for tuition purposes, you will be billed for the difference in tuition.
Method of payment
Check enclosed. Make payable to the Friday Center for Continuing Education.
Credit Card: If paying by a credit card, provide the information requested below. Only VISA and MasterCard are accepted. Note that debit cards requiring the use of a PIN for all transactions are not accepted.
VISA MasterCard Card Number________________________________________ Expiration date__________
Cardholder name (please print)____________________________________________________________________
Cardholder's signature___________________________________________________________________________
Cardholder's billing address_______________________________________________________________________
_____________________________________________________________________________________________
UNC Employee Tuition Waiver: Complete the Employee Tuition Waiver form at http://hr.unc.edu/Data/benefits/tuitionprograms/tuitionwaiver, get it signed by your supervisor and by Human Resources, and submit it with this application. The tuition waiver for UNC employees only covers a maximum of two courses per year. If you are registering for more than that, please register for them separately using the tuition waiver for up to two courses and indicating another form of payment for the other course or courses.
Third Party Payment: Please provide a written document from the Third Party (required before registration can be processed). Personal contacts, parents, and other relatives are not considered Third Party.
Third Party: _______________________________________________________________________
Third Party Name: __________________________________________________________________
Street Address: ____________________________________________________________________
City _____________________________________________ State _______ Zip _________________
| Mail or fax this form along with payment to the address below. If you are enrolling within one week of the date classes begin, please fax your form or deliver it in person to the Friday Center. Enrollment is limited, and registrations are accepted on a first-come, first-served basis. Carolina Courses Online Fax: 919-962-5549 You will receive written confirmation containing the Web address of your course home page. Please contact us before the first day of class if you do not receive a confirmation either by mail or e-mail. |
Every student enrolling through Carolina Courses Online is responsible for good citizenship in student life. This responsibility includes:
My signature below indicates that I will abide by the honor code.
I understand that information submitted will be relied upon by the officials of UNC-Chapel Hill to determine my status for enrollment. I certify that the information in this application is complete and correct and understand that the submission of false information is grounds for rejection of my enrollment, cancellation of enrollment, or appropriate disciplinary action.
Signature__________________________________________Date_____________
Nondiscrimination Policy:
The University of North
Carolina at Chapel Hill is committed to the principle of equal opportunity.
It is the policy of this University not to discriminate on the basis
of race, sex, color, national origin, religion, or disability with
regard to its students, employees, or applicants for admission or
employment. Such discrimination is also prohibited by federal law.
Any complaints alleging failure of this institution to follow this
policy should be brought to the attention of the University Counsel, Leslie Strohm, 919-962-1219.