Juniata College - Registrar - Visiting Student Registration Form

Student Information

First Name:

Middle Name:

Last Name:

Street Address:

City:

State:

Zip:

Country:

Email:

Phone:

Birth Date:

Social Security #:

Enrollment Status:

Student Type:

Emergency Contact Name:

Emergency Contact Phone:

Are you the dependent of a Juniata College employee? Yes No

Juniata College Employee Name:

High School Student Information

This information is only necessary for current high school students enrolling in a course.

High School Name:

City and State:

Current HS Class Year:

Graduation Date:

High School Administrator: (guidance counselor, principal, or other school administrator who manages dual-enrollment registration)

Administrator Title:

Administrator Email:

Administrator Phone:

Parent/Guardian Name:

Parent/Guardian Email:

Parent/Guardian Phone:

Course Registration

To view available courses, please visit https://selfservice.juniata.edu/Student/Courses/Search.

Term:

Course #:

Section #:

Title:

Credits: (0 if auditing)

Accessibility

Juniata College is committed to providing equitable access to learning for all students. Students who anticipate academic barriers and would like to request accommodations related to a documented disability (including learning differences, mental health, chronic or temporary medical conditions) and are not currently affiliated with the office, should visit the website at https://www.juniata.edu/academics/quest/student-accessibility-services/ to “Start your Application” (located on top right corner) After completing the application, the Director of Student Accessibility Services will contact you to set up a consultation. If you have questions, email accessibility@juniata.edu.

Optional Information

Gender:

Are You Hispanic or Latino:

Race: American Indian or Alaskan Native Asian Black or African American Hawaiian or Pacific Islander White Multi Racial Other

Are you currently enrolled at another college or university?

How did you find out about this opportunity: Newspaper Radio Juniata Website Social Media Friend/Family Guidance Counselor

Agreement and Submission

Tuition and Fees

Students are responsible for all applicable tuition and fees for courses in which you requested registration. Tuition and fees can be located on the Registrar’s website. Additionally, students should be aware of the academic calendar for important drop/add/withdraw dates and the bursar’s page for billing and payment information.

Juniata College is accredited by the Commission on Higher Education of the Middle States Association of Colleges and Schools. For complete information on the College and consumer information, visit www.juniata.edu.

The College reserves the right to make changes in the staff, fees, courses of instruction and regulations without prior notice. Courses may be cancelled due to low student enrollment.

I understand that once my registration is processed, I am officially registered for the term and that I am responsible for payment of all tuition, fees and other charges. Regardless of any expected reliance on third party resources, I am and remain responsible for paying any and all outstanding balances to the College. If my account is not paid in full, I further understand that the College may hire a collection agency to take action. If my account is assigned to a collection agency, I understand that I am responsible for any and all attorney fees, court costs and/or collection fees that may be incurred during the debt collection process. I have read and understand the College’s withdrawal and refund policies. These policies can be found on the College’s website and in various publications, such as the undergraduate catalog, student handbook, etc.