APPLY FOR SUMMER ONLINE COURSES


Welcome to the online summer program at Randolph College. This form is the first step in your enrollment process and is your application for classes. After you submit this form, you will get an email asking you to upload a copy of your photo ID and any other required documents. Once you have submitted these documents, you will be assigned a Randolph College username and can register for classes. Current Randolph College students should go directly to portal to register for classes. Please contact Sarah Sojka, the coordinator of the online program, at ssojka@randolphcollege.edu with any questions. We look forward to meeting you!

NOTE: * indicates required items. You will need to complete this form within 30 minutes of starting it or the page will time out.



 
PERSONAL/ACADEMIC INFORMATION
I am applying as:   (Select an institution using the tools below.) 

US Students - Search by your institution's ZIP code:  

Intl Students - Search by country:  

Can't find your institution? Enter the full name here:









 (High school transcript required)



  

* Legal First Name:  
Middle Name/Initial:
* Legal Last Name:  
Nickname (Preferred Name):
* Birth Date (mm/dd/yyyy):    
Legal Gender:    
Gender Identity:
Pronoun:
* Street Address or PO Box:  
Address Line 2:
* City:  
State/Province:
Zip/Postal Code:
Country:
Phone number:
* Email:    
* Your Graduating/Attending High School:

Select a high school using the tools to the right.
 
US Students - Search by your High School's ZIP code:  
Intl Students - Search by country:  
Homeschool Students -
Can't find your school? Enter the full name here:
Your High School Graduation Year:  
Have you been enrolled at RC before?    
If yes, please list date(s):
RESIDENCY INFORMATION
US Citizen/Resident Status:
If you are not a US Citizen, of what country are you a citizen:  
If you are a US permanent resident or green card holder, please give us your alien registration number:  
* Where will you be located (US state or non-US country) while you take this course:     Or  
* Government identification: 
 Social Security number  

 Individual Taxpayer Identification number 

 I will not or cannot provide a SSN or ITIN. (Please select an option below.)


WE ARE REQUIRED TO ASK THE FOLLOWING FOR US GOVERNMENT REPORTING PURPOSES:
Ethnicity:
Race (select one or more):



* Verification: 

By submitting this form I am indicating that the above information is complete, factually correct and honestly represented. In addition, it indicates that if accepted to Randolph College I will uphold the standards of the following Honor Pledge:

I pledge absolute honesty in my academic work and in all personal relationships at Randolph College. I will maintain the integrity of my word and I will respect the rights of others. Realizing that these standards are an integral part of life at Randolph College, I assume my obligation to uphold this honor pledge. If at any time I fail to live up to my obligation of this pledge, I will report myself to the Chair of the Judiciary Committee. I will also ask others to report themselves for any infraction of this pledge.