If you do not wish to register on line, request a registration form from distance@uaf.edu or fill out the pdf version.

Directions for filling out this form: Please make sure to fill out ALL required fields (marked with * ). Also make sure to fill in the validation code at the bottom of the form (the very last item) before submitting the form. Note: You will need to have your browser settings set to enable you to view images.

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---- not applicable ----AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingPuerto RicoVirgin IslandsNorthern Mariana IslandsGuamAmerican SamoaPalau

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Select CountryUnited StatesUnited KingdomAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo, The Democratic Republic of TheCook IslandsCosta RicaCote D'ivoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-bissauGuyanaHaitiHeard Island and Mcdonald IslandsHoly See (Vatican City State)HondurasHong KongHungaryIcelandIndiaIndonesiaIran, Islamic Republic ofIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, Democratic People\ss Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyan Arab JamahiriyaLiechtensteinLithuaniaLuxembourgMacaoMacedonia, The Former Yugoslav Republic ofMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated States ofMoldova, Republic ofMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinian Territory, OccupiedPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussian FederationRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre and MiquelonSaint Vincent and The GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and The South Sandwich IslandsSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwan, Province of ChinaTajikistanTanzania, United Republic ofThailandTimor-lesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe

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---- not applicable ----AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingPuerto RicoVirgin IslandsNorthern Mariana IslandsGuamAmerican SamoaPalau

* If you have a U of A student ID number, please provide it. If not, then provide your social security number.

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INFORMATION RELEASE

Directory information is disclosed on a routine basis unless a student requests in writing that such information may not be released. The following is considered directory information:

• Name
• Address, telephone number, e-mail address
• Home address (permanent)
• Height and weight of students on athletic teams
• Date and place of birth
• Dates of attendance and current class standing
• Major field(s) of study
• Degrees, honors, and awards received, including dates
• Participation in officially recognized activities
• Chancellor’s List and Dean’s List recognition each semester

The University of Alaska Fairbanks does not discriminate in employment, admissions, access to or treatment in its programs, activities and services on the basis of race, color, age, sex, national origin, religion, veterans status, handicap or otherwise as proscribed by applicable state and federal laws and regulations, including Title IX of the Education Amendments of 1972 and Section 504 of the Rehabilitation Act of 1973 and E.O. 11246 as amended.

SEX/ ETHNICITY / MILITARY STATUS:

Male     Female

American Indian - Not Alaska Native Black, non-Hispanic Hispanic Asian or Pacific Islander White, non-Hispanic Alaskan Aleut Alaskan Eskimo - Inupiak Alaskan Eskimo - Yupik Alaskan Eskimo - Other/Unspecified Alaskan Indian - Southeast Alaska Alaskan Indian - Athabaskan Alaskan Indian - Other/Unspecified Alaskan Native - Other/Unspecified Other

Not Applicable Active Duty - Army Active Duty - Coast Guard Active Duty - Air Force Active Duty - Navy/Marines Active Duty - Other Dependent Child Dependent Spouse Veteran - Discharged/Retired (Eligible) Veteran - Not Eligible for Benefits Widow/Widower

Yes     No    

Yes     No    

Yes     No    

ANS ANTH ABUS ART AVTY BIOL BA CCS CE CIOS COMM COUN CS DEVE DEVM DRT ECE ECON ED ENGL FLM GEOG HLTH HIST HUMS JRN JUST LAT LING LS MATH MSL MUS PS PSY SOC SPAN STAT SWE SWK THR TTCH WMS

US1 UX1

1 2 3 4

Yes     No

Note on calculation of fees:

Distance Fees:
$40.00 per course for 00-200 levels
$75.00 per course for 300-400 levels
$100 per course for 500-600 level

Technology Fees:
$5 per credit up to $60 per semester.

Network Fees:
$3 per credit hour for 000-400 level courses
$6 per credit hour for 600 level courses

(If you're not enrolling in a second course at this time, skip to "Method of Payment.")

ANS ANTH ABUS ART AVTY BIOL BA CCS CE CIOS COMM COUN CS DEVE DEVM DRT ECE ECON ED ENGL FLM GEOG HLTH HIST HUMS JRN JUST LAT LING LS MATH MSL MUS PS PSY SOC SPAN STAT SWE SWK THR TTCH WMS

US1 UX1

1 3 4

Note on calculation of fees:

Distance Fees:
$40.00 per course for 00-200 levels
$75.00 per course for 300-400 levels
$100 per course for 500-600 level

Technology Fees:
$5 per credit up to $60 per semester.

Network Fees:
$3 per credit hour for 000-400 level courses
$6 per credit hour for 600 level courses

JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember 200920102011201220132014

By submitting this registration, I signify my understanding that I am responsible for all applicable UAF academic regulations, tuition, and fees whether or not I successfully complete the course or courses in which I am enrolling.

NOTE: books/materials will be automatically mailed when registering online.