Educational Administration @ EIU

Cohort Registration Form

This form is only for Off-Campus Cohort classes. If you are registering an on-campus class, please register by using the PAWS system at www.eiu.edu/paws

Semester:

Year:

Gender:

Male Female

E-Number:

Name:

Home Address:

Home Phone:

(xxx-xxx-xxxx)

Cell Phone:

(xxx-xxx-xxxx)

Work Phone:

(xxx-xxx-xxxx)

EIU Email:

Home Email:

Work Email:

Class:

Master of Science

Specialist

Other

Course Requests:

This form is ONLY for Off-Campus classes. If you are requesting an On-Campus class, you must register using the PAWS system at www.eiu.edu/paws

No.	CRN#	Course	Section	Location
1.
2.
3.
4.
5.

If making a request to drop-into a cohort class, please complete:

I am a member of the following cohort:

I am not a cohort member

I am an On-Campus student

***Important: In order to ensure your form is processed, please make sure to enter correct information. You must press the SUBMIT button for your responses to be recorded. If you experience problems using this form please contact Margaret Hunter at mmhunter@eiu.edu or phone (217) 581-2919.

Updated: August 25, 2008