Settlement Class Registration

Name*

First NameMiddle NameLast Name

Date of Birth*

Date

McKendree Student ID#

Cell Phone Number*

Please enter a valid phone number.

Email Address*

example@mckendree.edu

Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Which Online Class would you like to enroll in?
(Current Course Offerings can be found HERE)
(Enrollment is subject to availability)

Year*

Term*

Course Number (ie. ENG-111-01EL)*

Credit Hours (Settlement benefit will cover a max of 3 credit hours)*

Course Title*

Do you intend to enroll in additional courses beyond this free three-credit hour course? *

If yes, what would you like to take? (An admissions counselor will be in contact with further information)

Withdrawal from a course or from the University must be done by written notification to the Academic Records Office or via the Add/Drop Form. Discontinuing classes without properly withdrawing results in a "F" in all courses for that term and forfeiture of the settlement non-cash benefit. Withdrawing after the 5th business day of the term will also result in forfeiture of the settlement non-cash benefit.

By submitting this form I acknowledge that I am aware that the University has acted in reliance upon this agreement to register in the class listed above. Because of the University’s reliance upon students’ registrations to set aside a place in these courses, I agree that upon clicking Submit at the bottom of this form I am electing to utilize my settlement non-cash benefit for the class listed above. If the course is less than three (3) credit hours, I understand that I am not entitled to any additional settlement benefit. If the course exceeds three (3) credit hours, I have become obligated to pay the University for the additional hours in accordance with the University’s usual schedule of fees and tuition. I understand that if my account becomes delinquent, I am obligated to reimburse the University for all interest charges, late payment fee, collection fee (which can exceed 50% of outstanding balance) and court costs resulting from my delinquency.*

I agree

Please use the space below to enter any additional information or comments if necessary.

McKendree University

701 College Road

Lebanon, Illinois 62254

(618) 537-4441