CTC REGISTRATION REQUEST Personal InformationName* First Middle Last UA ID (or SSN) Date of Birth* MM slash DD slash YYYY Current Mailing Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Residency: Students seeking Alaskan residency or a waiver of non-resident surcharge must complete an Application for Resident Tuition and provide required documentation to the Office of Admissions before the published first day of instruction (UA Board of Regents Regulation R05.10.05). For more information see Resident and Non-Resident Tuition below.Day Phone*Evening PhoneEmail Address* Semester of EnrollmentYear*202220232024202520262027Semester* Fall Spring Summer Demographic InformationSex Male Female Prefer not to Answer Ethnicity Hispanic or Latino Not Hispanic or Latino Race*Please select...Alaska Native - AleutAlaska Native - HaidaAlaska Native - TlingitAlaska Native - TsimshianAlaska Native - Other/UnspecifiedAlaska Native - InupiaqAlaska Native - SoutheastAlaska Native - AthabascanAlaska Native - Yup’ikBlack or African AmericanAmerican Indian (Not Alaska Native)Native Hawaiian or Other Pacific IslanderAsianWhiteOtherRequested for compliance with Title IV of the Civil Rights Act of 1964Veteran/Military Status Non-veteran Veteran Vet Spouse/Dependent Active Duty Active Duty - Spouse/Dependent Branch of MilitaryNon-VeteranUAF Air Force StudentUAF Army StudentUAF Coast Guard StudentUAF Marine Corps StudentUAF Navy StudentUS Citizen?* Yes No If not US Citizen, Nation of Birth If not US Citizen, Nation of Citizenship If not US Citizen, Visa Type Permanent Resident? Yes No Prior Education InformationDid you graduate from high school? Yes No Graduation Date MM slash DD slash YYYY Name of High School High School Location (city/state) If NO, did you complete the GED? Yes No Date GED Completed MM slash DD slash YYYY Location of GED (state) If you attended UAF before 1983, state where and dates of attendance If you ever attended any UA branch under another name, state name used Course Information Provide all requested course information details for each course that you want to register to attend. Refer to the CTC online Course Schedule for course information details. For tuition and fee data in addition to course information details, refer to the UAOnline Class Schedule Search. Course Information CRNDept/CourseSectionCourse TitleCredits"Yes" if Audit RESIDENT AND NON-RESIDENT TUITION ▼ First-time non-degree students or students returning to enrollment after more than a two-year absence are considered non-residents until they submit an Application for Resident Tuition with this registration form before the first published day of instruction and are approved (for the purposes of residency pursuant to UA Board of Regents Regulation R05.10.05) as a resident of Alaska. For more specific criteria, please refer to the UA Application for Resident Tuition Assessment at www.alaska.edu/files/studentservices/student/residency-form/Residency-Application-enterable.pdf. INFORMATION RELEASE/FERPA ▼ The Office of the Registrar is responsible for keeping student education records. The full copy of the university’s policies regarding access to student records under the Family Educational Rights and Privacy Act of 1974 (FERPA) are available at www.alaska.edu/studentservices/ferpa/ Directory Information The university may release certain directory information to the public on a routine basis unless a student requests, in writing, that the university not release it. Forms to request that directory information not be released are available in the Office of the Registrar.No directory information will be released until the last day of late registration. Any request to withhold directory information will continue until a student provides permission, in writing, for the university to release such. After that, information will be released when appropriate. The names of students who have requested their directory information be withheld will not appear in the published university chancellor’s and dean’s lists.The following is considered directory information: Name E-mail address Home city and state Weight and height of students on athletic teams Dates of attendance at UAF Program/major field(s) of study Degrees and certificates received, including dates Participation in officially recognized university activities Academic and co-curricular honors, awards and scholarships received, including dates LATE PAYMENT/REINSTATEMENT FEES ▼ A late fee of $125 will be added to accounts which are not paid by the Drop Deadline. An additional late fee of $175 may be added to the balances remaining after the Drop Deadline. The University may drop you for non-payment. For more information about fees, contact CTC Student Services at 907-455-2800 ACADEMIC CALENDAR/DATES AND DEADLINES ▼ Please check the Academic Calendar for dates and deadlines related to fee payment, course drops and refunds, and course withdrawals.I understand I am responsible for all applicable UAF academic regulations, tuition and fees whether or not I successfully complete the course or courses in which I am enrolling. The university may drop me for nonpayment. I promise to pay attorney’s fees and other reasonable collection costs necessary for the collection of any amounts owed UA. If I do not pay, the university may take my Permanent Fund Dividend under Alaska Statutes 14.40.251 and 43.23.073. Δ
