Online Great Books Program Enrollment Form

Please fill out the form below and then click SUBMIT. You will be linked to the tuition page of the bookstore to pay for your enrollment (in one payment in full, or in ten equal monthly installments – both options are there). This form will not be processed, nor will your class space be reserved, until the tuition payment option there is selected and entered. After we receive your enrollment form and first tuition payment, we will email you with all needed information. We look forward to having you in our online classes!

Students Name *
E-mail Address: *
Students Email Address *
Students Date of Birth *
Name of Parent(s)/Guardian(s) *
Gender: Male/Female *
Email and Phone # of Parent(s)/Guardian(s) *
Full Mailing Address *
Citizenship
Primary or High School Student is Attending (if homeschooled, simply put homeschool)
School Address (if homeschooled, simply put homeschool)
Grade Level Completed (also please list any AP, ACE recommended, prior Great Books Program or other college level credits).
Primary Language Spoken
Click for Great Books Year and Day of Week (choose one) All classes are Pacific Time *
Select the type of credit(s) you wish to receive *	High School Track High School and College Track
Alternative Class Day Requested (in case your first choice class is full)
In this box please outline your educational goals including what higher education you presently plan to seek and where, after completing the Great Books Program.
Use this space to enter any information you wish, including any for which there was insufficient room anywhere in the form above. When finished, click SUBMIT. After clicking SUBMIT, you will be automatically transferred to another page to pay for your tuition fee. Thank you!

* Required