EmailMe Form - Continuing Education Application

Personal Information

Full Name *

First MI Last

UNE Personal Reference Number (if applicable)

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Date of Birth *

Please use this format mm/dd/yyyy

Phone Number *

### - ### - ####

Email Address *

Enrollment History

Are you currently attending another institution?

Yes

No

If yes, please enter University Name and Major:

Use full name of university (ex: University of New England)

Highest Degree Earned

Previous College/University Attended

Use full name of university (ex: University of New England)

Transcript of Highest Degree Earned

Transcripts must be either .pdf, .doc or .docx to be uploaded

Enrollment Information

Academic Year Applying For: *

Academic Semester Applying For: *

Summer

Fall

Spring

Have you ever taken courses at UNE? *

Yes

No

Course Enrollment Request

Please review UNE's course offerings and enter the specific section(s) you would like to be registered for.

You can find the link to our course offerings at www.une.edu/oce.

Course Reference Number (Course 1) *

(ex: 22052)

Course Subject, Course Number (Course 1) *

(ex: CHE 210)

Course Title (Course 1)

Section name (ex: Organic Chemistry I)

Transcript for Prerequisite Verification (if applicable)

Transcripts must be .pdf, .doc, or .docx

Course Reference Number (Course 2)

(ex: 22052)

Course Subject, Course Number (Course 2)

(ex: CHE 210)

Course Title (Course 2)

Section name (ex: Organic Chemistry I)

Transcript for Prerequisite Verification (if applicable)

Transcripts must be .pdf, .doc, or .docx

Payment Information

To make a payment contact Student Accounts:
109 Decary Hall
11 Hills Beach Road
Biddeford, Maine 04005

Phone: (207) 602-225

Disclaimer

I have read and fully understand the prerequisite courses and/or knowledge required for the course for which I am registering for. And further believe that I need these requirements. I have also read and understand the policies and procedures for add/drop, withdrawal and course cancellation.

Disclaimer

Checking this box indicates my acknowledgement of the above disclaimer.

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