Express Interest in Summer 2024 College Credit Opportunities

PLEASE COMPLETE THE FORM BELOW TO REGISTER FOR THE ONLINE COLLEGE CREDIT OPPORTUNITIES YOU ARE INTERESTED IN

Once we receive your registration, we will follow-up with a confirmation of your selections.

Questions? Please email gearup@uwgb.edu.

Student Info

First Name

Last Name

Preferred Name

Street Address

City

State

Zip Code

Date of Birth

mm/dd/yyyy

Student Email (if you don't have one, please enter a parent/guardian email)
This is where your confirmation & orientation information will be emailed to

Student Cell Phone Number (if you don't have one, please enter a parent/guardian phone number)

Please enter a 10-digit phone number with no dashes

Who is your GEAR UP Education Specialist?

Parent/Guardian Info

First & Last Name

Email Address

Cell Phone Number

Work Phone Number

Home Phone Number

Summer 2024 College Credit Courses

Which grade will you be in this fall (starting September 2024)?

Which school will you be attending in Fall 2024 (starting September 2024)? Please include school name, city, and state

Which online college credit course are you interested in taking this summer?

If you're interested in more than 1 online course, choose 1 from the list below then click on Choose another course

ANTHRO 100 - Varities of World CultureHUM BIOL 217 - Human Disease and SocietyNUT SCI 202 - Ethnic Influences on NutritionTHEATRE 211- World THeatre and PerformanceWOST 203 - Gender in Popular Culture

Terms and Conditions
The undersigned does hereby agree to hold harmless and indemnify the State of Wisconsin, the Board of Regents of the University of Wisconsin System, and the University of Wisconsin-Green Bay, their officers, agents, and employees, from any and all liability, loss, damages, costs, or expenses which are sustained, incurred, or required arising out of the actions of the undersigned in UW-Green Bay's Programs.

By selecting this checkbox, you are agreeing to the terms and conditions outlined above