Request to enroll - for cohort members

Thank you for taking the time to request enrollment in the next term of your cohort program sequence.

If you have any questions or need further assistance, please contact UNI Continuing and Distance Education at 800-648-3864 or 319-273-5970.

Student information

To ensure accurate and expedited enrollment, please provide your UID. Please DO NOT include your Social Security Number.

Course information

You MUST enter course information in order to be enrolled. Leaving this section blank will result in delays, as we are unable to enroll you in any course without your specific request.

 Class NbrCourse NumberCourse TitleInstructorUnits credit
1
2
3
4
Payment information
Comments/Questions

The submission of this form grants permission for the University of Northern Iowa staff to officially enroll you in the courses indicated. You will receive email confirmation upon receipt of your submission. 

The University of Northern Iowa requests the information included in this form for the purposes of enrollment. No persons outside the University are routinely provided this information, except for items of directory information such as name and local address. Release of any information is governed by Board of Regents rules and applicable state and federal statutes.