Westville - 153775 Concurrent Enrollment Registration Form

    Westville 22/23 Course Registration Form
    Demographic Information
    Date
    Date
    Birthdate
    Birthdate
    Graduation Date
    Graduation Date
    Mailing Address
    Mailing Address
    Parent/ Guardian Information
    You must have your Parent/Guardian permission in order to enroll in a PNW course, therefore the information below is required.  A separate email will be sent to email address provided for approval.
    Costs

    Priority Course CEP tuition - $25 per college credit (subject to change per Indiana Priority Dual Credit Course List).

    • Ex: Course has four college credits @ $25 each = $100
    Course Selection-Semester 1
    NOTE: Tuition statements for Semester 1 classes will be sent out in September
    If in the class all year, select same course in Semester 1 and Semester 2
    Select the course(s) below for which you would like to enroll for the first term.
    Semester 1 (Fall Semester): Priority Courses
    Semester 1 (Fall Semester): Priority Courses
    Course Selection-Semester 2
    NOTE: Tuition statements for Semester 2 classes will be sent out in March
    Select the course(s) below for which you would like to enroll for the second term.
    Semester 2 (Spring Semester)-Priority Courses
    Semester 2 (Spring Semester)-Priority Courses
    Disability Information
    Students with disabilities have the right to access any program offered by the school district as long as they meet all of the same eligibility requirements and prerequisites for enrollment.  Students with disabilities are held to the same financial obligations, academic performance expectations, and consequences for both success and failure as all other students.
    Privacy Information
    Purdue University complies with the Family Educational Rights and Privacy Act of 1974 (FERPA), as amended, the federal law that protects the privacy of Education Records of Students.  As such, Education Records and Personally Identifiable Information will be released only with the signed consent of the Student, except in those instances outlined in Section A of the Procedures.
    Course Registration Request Submission
    By submitting my online course request:
    1. I certify that the information I have provided is accurate, true and complete.
    2. I agree to abide by the policies, rules and regulations of Purdue University Northwest.
    3. I authorize my high school to furnish all academic and personal information requested by the Office of Concurrent Enrollment.
    4. I authorize Purdue University Northwest to report my academic progress to my high school.
    5. I understand that my enrollment will be limited to courses approved by Purdue University Northwest academic advisors.