LETRS Course Registration

Applicant Information

First Name *

Last Name *

Former Last Name

Email Address *

Social Security Number (Necessary for the 1098T for Federal Tax returns)

Birthdate *

Gender

Home Phone

Cell Phone

Permanent Home Address *

Country

Street

City

Region

Postal Code

Will your address while taking this course be the same as your listed mailing address above? *

Yes

Please provide the location of your residence while taking this course *

Country

City

Region

Postal Code

Primary Citizenship

Secondary Citizenship

Permanent Resident

Yes

Visa Type *

The Federal Government requires that Wilson College reports student race/ethnicity information as part of our annual data collection. The information will not in any way be part of the institution’s admission process and decision with regard to the applicant.

Ethnicity

Hispanic/Latino

Non-Hispanic/Latino

Race (Check all that apply)

Course Information

Select a start term from the list below *

Select a course from the list below *

Academic Information

Highest Degree Level Earned [Bachelor’s, Master’s, Doctorate] *

Institution you received your most recent degree from *

End Year *

Employment Information

Employer (School District) *

Position *

Employer's Telephone *

The Professional Personal ID from PDF is required for PA Certified teachers who would like Wilson College to report Act 48 credits to PDE. Wilson College reports only courses completed for credit at the college. Students must have a grade of C or better in the course for it to be reported as meeting Act 48 requirements. Determining if this course credit actually satisfies Act 48 requirements is not the college's responsibility.

Professional Personal ID (PPID from PDE, if applicable)