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Registration & Records

Online Course Registration Form

Note: This form is only for students not seeking a degree from Minnesota West Community & Technical College. Complete the form, then click the Submit button. All fields must be completed.

Payment Disclosures: Terms and Conditions

  • I understand that I am responsible for all charges for this registration at Minnesota West Community & Technical College.
  • I understand that it is my responsibility to read all policies and procedures as outlined in the student handbook.
  • I understand the drop/add, withdrawal, and refund policies as outlined in the handbook.
  • It is my total obligation to pay tuition and fees in full for all classes that I am registered for after the fifth class day of any term.
  • I further understand that all tuition and fees are to be paid in full no later than the fifth day of any term unless a deferment is in effect.
  • I understand that I may be subject to late fees.
  • I understand that if I have an unpaid balance, no further enrollment at Minnesota West will be permitted, that my unpaid balance will be turned over to a collection agency, and that I am fully responsible for any collection costs and fees.

Complete and submit the following form:

Term(*)
Term
Date of Birth:(*)
Birth Date
Last 4 digits of SSN:(*)
Last 4 digits of SSN
We ask for your birthdate and last 4 digits of SSN to help ensure that we don’t create duplicate accounts. * The previous information will help Minnesota State Colleges and Universities evaluate student recruitment and retention policies; it will not be used as a basis for admission. Providing this information is voluntary
Are you Hispanic or Latino?
Racial Background:
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Last Name:(*)
Last Name
First Name:(*)
First Name
Street Address: * (*)
Street Address
City:(*)
City
State:(*)
State
Zip Code:(*)
Zip Code
Home Phone w/Area Code(*)
Home Phone (xxxxxxxxxx)
Email:(*)
Email Address
Minnesota Residence?(*)
Minnesota Resident
If yes, how long?
Months:
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Years:
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If no, of which state are you a resident?
Invalid Input
Are you a U.S. citizen?(*)
U.S. Citizen
If you answered no, do you have status as:
Invalid Input
If you answered none of these, do you have or intend to apply for a visa?
Invalid Input
If you answered yes, you must contact the international student office at the college or university you wish to attend to determine whether a separate application is required.
Course Number 1 (Required)
Course ID:(*)
Course ID
Subj/Number:(*)
Subj/Number
Title:(*)
Title
Credits:(*)
Credits
Course Number 2 (Required)
Course ID:
Invalid Input
Subj/Nbr:
Invalid Input
Title:
Invalid Input
Credits:
Invalid Input
Course Number 3 (Required)
Course ID:
Invalid Input
Subj/Nbr:
Invalid Input
Title:
Invalid Input
Credits:
Invalid Input
Signature:(*)
Signature
* By entering my name, I am agreeing to all terms and stipulate that all information provided is correct.
Date:(*)
Date
Year:(*)
Year