UW-Green Bay Credit and Non-Credit Registration  
To register, please complete the information below, select your enrollment choice, and indicate your method of payment. Required fields are marked REQ. You will have an opportunity to review and edit your information prior to submitting your registration. Look for the EDIT link on the right side of the Summary Page. Please note that if you use your Browser's BACK arrow, your information will be lost.

For questions or assistance, please contact our Education Outreach office at (920) 465-2480 or (800) 621-2313 or educationoutreach@uwgb.edu.


PERSONAL INFORMATION

First Name
Middle
Last Name
Home Street Address
Home City
Home State
Home Zip
County
Lived at Home Since
Home Phone
Work Phone & Ext
Mobile Phone
Email Address 1
Email Address 2
Mailing Address (if different than above)
Mailing City
Mailing St
Mailing Zip
Mailing Address Phone Nbr
Mailing Address Until (mm/yy)
I teach at
School Type
School District
CESA No.
Employer
School/Business Name
Position
Employed From/To
School / Business Address
School/Business City
School/Business State
School/Business Zip
= required field
   

** Please note that if you use your Browser's BACK arrow, your information will be lost ** 

 

   
   

For more information, contact:

Carmen Leuthner - Director, Education Outreach
Division of Outreach and Adult Access
2420 Nicolet Drive
Green Bay, WI 54311-7001

Phone: (920) 465-2480 or (800) 621-2313
Fax: (920) 465-2643
E-Mail:

   
         
 
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