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CHS Student Account Registration

First Name *

Middle Name

Last Name *

Permanent (Home) Address *

Country

Street

City

Region

Postal Code

Email Address *

Phone Number *

Phone Type *

Birthdate *

Sex *

Are you Hispanic or Latinx?

Yes

Social Security Number (please omit dashes) *

Please note that we are unable to process any registration without a Social Security Number. The federal government requires that we include Social Security Numbers for 1098T reporting.

High School *

High School Graduation Year *

In accordance with the Family Educational Rights and Privacy Act (FERPA), you have the opportunity to grant student account access to persons who identify themselves as your parent(s)/guardian(s). Would you like to give this consent? *

Carlow University prohibits sex discrimination in any education programs or activity that it operates. Individuals may report concerns or questions to the Title IX Coordinator at titleix@carlow.edu.