Registration

Last Name

First Name

Email

Date of Birth

Gender

Address

City

State

ZIP Code

Cellular Phone

Office Phone

Course Language

Previous Enrollment

Have you ever enrolled for non-credit courses at ECLEE?

Have you ever enrolled for credit courses at ECLEE?

Have you applied for Non matric status at ECLEE?

Yes

No

Are you currently on drop status for low scholarship?

Yes

No

Are you a high school student?

Yes

No

Are you a jobseeker?

Yes

No

ECLEE student number (if applicable)

ECLEE Registration