How to Enroll
Enrolling is quick and easy! Select the option most convenient for you.
UW-Parkside Center for Community Partnerships 900 Wood Road P.O. Box 2000 Kenosha, WI 53144
Online www.uwp.edu/go/ccp
In-Person (advanced registration only)
Phone 262-595-3340
UW-Parkside Center for Community Partnerships Tallent Hall 8:00 am-4:30 pm
Ask us a question at ccpinfo@uwp.edu
Registration Form
Noncredit Online Course registration is online only: www.uwp.edu/go/ccp. Click on Online Courses & Certificates to view all online offerings.
For Office Use Only: Date Received: __________________________________________
Date Entered: ____________________________________
Confirmation Sent: _______________________________________ *Payment must accompany all registrations and by mailed at least two weeks before the start of the course for processing.
Last Name: ___________________________________________
First Name: ________________________________________________
Address: ______________________________________________ City/State/Zip: ____________________________________________ Home Phone: _________________________________________ Work/Cell Phone: ___________________________________________ Email: _____________________________________________________________________________________________________________ (Print clearly. Event confirmation and information will be sent to this email address.)
Course Name
Beginning Date
Fee
Total:
Payment Method:
Check or money order (made payable to UW-Parkside) MasterCard/Visa/Discover/American Express
Credit Card #: ______________________________________________________________________________________________________
Please Check:
I have read and agree to the terms of UW-Parkside’s cancelation policy. (See Page 38)
More events and information online - www.uwp.edu/go/ccp
YourU - 39
General Information
Expiration Date: _________________________ Signature: _________________________________________________________________