COURSE ENROLLMENT REQUEST
My e-signature indicates the above information is factually correct and complete. With the information collected in this webform, I will be admitted, as a Distance and Online Education non-degree student, to the University of Iowa. I plan to complete the enrollment in the course requested above, at the University of Iowa, for academic credit as noted. The information that I have provided is for admission purposes. No persons outside the university are routinely provided this information, except for directory records. The University of Iowa will bill me for tuition and fees in accordance with my enrollment. I understand that I will need to take additional steps to complete the enrollment process.