Juniata College Visiting Student Registration

Please complete all required fields marked with *.

Student Information

Legal First Name *

Legal Middle Name

Legal Last Name *

Chosen First Name

Optional — enter only if different from legal first name.

Street Address *

City *

State *

ZIP Code *

Country

Email *

Phone *

Birth Date *

Social Security # *

Enter in format: 123-45-6789

Enrollment Status

Student Type

Emergency Contact Name

Emergency Contact Phone

Employee Information (If Applicable)

Complete this section only if the student is a Juniata College employee, spouse, or dependent.

Select Status Select the appropriate option if requesting tuition benefits.

Juniata College Employee Name

Juniata College Employee Email Address

High School Student Information

This section is required only for high school students.

High School Name

City and State

Current HS Class Year

High School Graduation Date (MM/YY)

Enter month and year only (example: 05/24).

High School Administrator Name Ex: Guidance Counselor, Principal, Assistant Principal

Administrator Title

Administrator Email

Administrator Phone

Parent / Guardian Name

Parent / Guardian Email

Parent / Guardian Phone

Course Registration

To view available courses, please visit Course Search

Requested Courses *

Term	Section Name	Course Title	Credit or Audit	Remove

Alternate Courses (Optional)

If requested courses are unavailable, these alternate choices may be used.

Term	Section Name	Course Title	Credit or Audit	Remove

Optional Information

Gender

Preferred Pronouns

Are you Hispanic or Latino?

Race (Select all that apply)

American Indian or Alaskan Native

Asian

Black or African American

White

Multi-Racial

Other

Prefer not to answer

Agreement and Submission

Tuition and Fees

Students are responsible for all applicable tuition and fees for courses in which they requested registration. Tuition and fees can be located on the Registrar’s website. Additionally, students should be aware of the academic calendar, 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 college catalog, student handbook, and other official materials.

By submitting this form, you agree to Juniata College’s tuition, fees, and withdrawal policies. For questions, contact registrar@juniata.edu .