Welcome to Office Extension Services
DL Course Registration Form
Please complete the following form to register for a DL program course. One of our staff members will review your information and contact you as soon as possible. NOTE: This form is intended for use by DL students only. If you are a full-time, in-resident, degree seeking student at AFIT, please explain in the comments why you are using this form to register. All fields marked with a * are required.

To assist you in your planning, you may want to use this curriculum planning worksheet.


Student Name: *
Student E-mail Address: *
Current Location/Installation: *
DL Program Name: *
Enrolled in the program since: *
Course number for the course you wish to enroll in: *
Course name you wish to enroll in: *
Quarter you wish to enroll in: *
Has this course already been paid for with unit funds: *

If this course is not prepaid, then send invoice to:
Name:
Address
City, State, Zip Code
Telephone
Email Address:
   
Is this your first AFIT course? Yes *
No
I am a/an: Active Duty USAF
Active Duty Sister Service
DoD Civilian
DoD Contractor
Guard or Reservist
None of the above
Comments:
Confirmation Code: Enter this code in the field below:0368

PRIVACY ACT INFORMATION
The information accessed through this system is FOR OFFICIAL USE ONLY and must be protected in accordance with the Privacy Act and AFI 33-332.


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DLR 15 Aug 2011