Student Registration
*Student ID:
*First Name:
*Last Name:
*Email:
Date of Birth:
*Course name:
*Course ID:
*Course section number:
*Semester:	Select from list: Fall Spring Summer Winter
*Campus:	Belleville Granite City Red Bud
Course Career:	Community Service Undergraduate
Degree Program:
Term:
Financial Aid:	Yes No
Comments:
*Required fields