PSC Registration Form










NOTE: You are responsible for dropping if you no longer decide to complete the course(s). Failure to drop will result in you receiving a failing grade, and you will be responsible for tuition and fees. Please view the academic calendar and refund table for applicable dates.

Identity Verification

Please upload a photo of one of the following:
-School ID
-Driver’s License
-State ID
-Passport
-Military ID
Date: Wednesday, 9 October 2024 (EDT)
Name:
Type your name to sign this document:
Typing name is equivalent to a handwritten signature
Signature
Scan this QR code with your phone:
Scan QR code to sign
If you do not have an active camera use the Upload Identification Card field below to upload your photo ID.
If you do not have a photo ID card, email enrollment@prairiestate.edu.

Date: Wednesday, 9 October 2024 (EDT)
Name:
Type your name to sign this document:
Typing name is equivalent to a handwritten signature
Signature
Scan this QR code with your phone:
Scan QR code to sign

For Internal Use Only: