Please indicate the course you are registered for:  

Name: 

Do you have access to a laptop computer? 

Yes
No

Enrollment Status: 

Full-time (taking 12 hours or more this semester)
Part-time (less than 12 hours)

Why did you decide to enroll in an online course at Clayton State? 

 

Have you ever taken an online course before? 

Yes
No

Major:  GPA: 

Classification:

Freshman
Sophomore
Junior
Senior

Career Goal:   

What do you hope to learn from this course?