Dual Enrollment Registration - Rio Salado College
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COURSE REGISTRATION FORM
With the exception of Xavier College Prep, it is highly recommended that students register for Fall and Spring classes. Students are only responsible to pay for one semester at a time.
To complete this process you must have access to a printer.
(Please note that going online to obtain a student number, in order to take a placement test, is not the same thing as enrolling in a class)
Are you a first generation college student?
* Required - First generation Y/N
Yes
No
Primary Reason for Attending this college:
* Required - Please select attending reason
First Name:
* Required - First Name
Last Name:
* Required - Last Name
Date Of Birth:
* Date must be between 1/1/1900 and 1/1/2078
(example: mm/dd/yyyy)
* Date of Birth required
E-mail Address:
* Invalid email address Example: name@isp.com
* Required
Phone Number:
(example: 2223331234)
* Phone Number required
Please enter a 10 digit number!
MCCCD Student ID:
Find your student ID
* Only numeric value Example: 1234
* Required
(example: 3xxxxxxx)
High School:
* Required - Please select high school
What is your high school grade level?
* Required - Please select high school grade level