ITL197 Registration Form

Personal Information

Female      Male     

Note: Your SSN is confidential and, per the Family Educational Rights & Privacy Act, is protected from unauthorized use and/or disclosure.

Contact Details

Mailing Address

Enrollment Information

How did you hear about this class?

Do you live in Washington State?

Yes      No     
Yes      No     
Yes      No     

What is your work status?

What is your family status?

Academic Background

Have you already graduated from high school or completed secondary education?

Yes      No     
Note: GED certfication, as well as IB, IGCSE, and O-Level diplomas with completion of at least 5 subjects are considered equivalent to high school graduation.
Yes      No     

Study Plans

When would you like to start your ITL197 class?

Yes      No      I do not know at this time     

What is your intended major?

What is your main long-term study goal?