Online registration form – Winter 2025 "*" indicates required fields This online registration form can be used for individual students who are not seeking financial assistance. If you wish to register as a couple or request financial assistance, please complete the paper form.Student Name* First Last Student Email* Phone*Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Optional: check if you want to notify us of any of these This is my first CVEC class Please do not share my phone number on the class list Please do not share my email on the class list If you wish to advise us that you have a hearing impairment If you wish to advise us that you have a vision impairment If you wish to advise us that you have an impairment- other Course RegistrationCourses:* Philosophers Reflect on Friendship In – Person Online Via Zoom Light Fantastic The Protestant Reformation Middlemarch Civil Liberties and the Constitution Jazz Appreciation Short Story Masters – George Saunders and the Russians New York Cinematic Stories The U.S. Intelligence Community The American Film Musical American Architecture – Arts and Crafts to Prairie School and Beyond From Colonialism to Independence – Caribbean Writers Tell Their Stories Coral, Oceans, and People – Exploring the Astounding, Mostly Hidden World of Coral Reefs Get Your Brain Dancing Aging is Hard – Can Philosophy Help? Optional DonationThose who feel able are invited to include a tax-deductible contribution. Actual expenses incurred by CVEC per course registration average about $79. You can enter any amount below, which will be added to your total charged. Total Credit Card*Card Details Cardholder Name CAPTCHAThis field is hidden when viewing the formOptionFirst OptionEmailThis field is for validation purposes and should be left unchanged.
