Student information must be typed in the format described below:
Login ID, User Last Name, User First Name, Last 4 digits of Social Security Number

Note: Please allow three business days from the time of this request for students to be enrolled.
You will receive an email when the student enrollment is completed.

Login ID= first initial of first name, last name, last 4 digits of social security number.
(Completed form should read as the following example: jdoe6789, Doe, John, 6789)

Enter Student Information Below (up to 10 at a time):