APPLY FOR ONLINE COURSES

Welcome to the online program at Randolph College!

To enroll as a non-degree seeking student, complete the following application.
After the application is submitted, you will receive an email requesting a copy of photo identification and any other pertinent enrollment information.
A Randolph College username and email account will then be assigned, and you will be registered for courses.
If you have any questions about the application or registration process, please contact Online Programs/Special Populations at online.randolphcollege.edu.

If you have taken a course from Randolph College before as a non-degree student, you do not need to re-submit an application. Please contact Online Programs/Special Populations at online.randolphcollege.edu to be registered.

If you are currently enrolled as a degree-seeking student at Randolph, please go directly to the Inside Randolph Portal to register for classes.

If you are applying through the Tri-College Consortium (Sweet Briar/University of Lynchburg), please email Registrar@randolphcollege.edu.

NOTE: * indicates required items. You will need to complete this form within 30 minutes of starting it, or the page will time out.

PERSONAL/ACADEMIC INFORMATION

I am applying as:

Visiting student - current student at: (Select an institution using the tools below.)

US Students - Search by your institution's ZIP code:

Intl Students - Search by country:

Can't find your institution? Enter the full name here:

Adult Non-Degree Seeking (Community)

Randolph College faculty/staff member

Dependent of Randolph College faculty/staff member

High school student - Dual Enrollment (*Note: transcript and high school counselor permission required)

High school student - not dually enrolled (*Note: transcript and high school counselor permission required)

CVCC Co-Enrollment

Other

* Legal First Name: (Required)

Middle Name:

* Legal Last Name: (Required)

Preferred First Name:

* Birthdate (mm/dd/yyyy): Invalid date (Required)

Legal Gender:

Female Male

Gender Identity:

Pronoun:

* Street Address or PO Box: (Required)

Address Line 2:

* City: (Required)

State/Province:

Zip/Postal Code:

Country:

* Phone number: (Required)

* Email: Invalid email (Required)

* Your Graduating or Attending High School:

Select a high school using the tools to the right.

US Students - Search by your High School's ZIP code:

Intl Students - Search by country:

Homeschool Students -

Can't find your school? Enter the full name here:

High School Graduation Year: Invalid year

Have you ever been enrolled at RC before?

Yes No

If yes, please list year(s):

FOR DEPENDENT STUDENTS ONLY
If you are a dependent student under the age of 18, fill out the following information. If not, skip to the next section.

With whom do you make your permanent home?

Guardian Type:

Guardian's First Name:

Guardian's Last Name:

Guardian's Address:

Guardian's City:

Guardian's State:

Guardian's Zip/Postal Code:

Guardian's Country:

Guardian's Email: Invalid email

Guardian's Primary Phone:

RESIDENCY INFORMATION

US Citizen/Resident Status:

If you are not a US Citizen, of what country are you a citizen:

If you are a US permanent resident, please give us your alien registration number:

* Where will you be located while you take this course:

* Government identification:

Social Security number Invalid SSN

Individual Taxpayer ID

I will not or cannot provide a SSN or ITIN. (Please select an option below.)

I am a foreign national/nonresident alien and do not have a SSN or TIN. I do not plan to file US income tax return.

I do not wish to provide my TIN to Randolph College at this time. I understand that I may be subject to an IRS fine of $150 upon failure to do so. I further understand that the IRS will not be able to use the Form 1098-T filed by Randolph College to confirm my eligibility for certain education tax benefits without this number.

DEMOGRAPHICS
We are required by the US Federal Government to ask the following:

Ethnicity:

Hispanic/Latinx of any race Non Hispanic/Latinx

Race:

American Indian or Alaskan Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Two or more races

COURSE SELECTION
You may register for up to four courses. For each course you select, you must also choose from the available session dates.

Course 1:

Please select a date for your chosen course:

Course 2:

Please select a date for your chosen course:

Course 3:

Please select a date for your chosen course:

Course 4:

Please select a date for your chosen course:

Lab Information:

If you selected a laboratory course, enter a shipping address for the lab kit. This address should be for your location during the time you will be taking the course(s). This address should be valid at least one week prior to the course date.

How did you hear about our online courses:

* Verification:

By submitting this form, I am indicating that the above information is complete, factually correct and honestly represented.

After submitting, please check your email for an important message about completing your application.