Request Information | Buena Vista University
Course Registration
CEUC 110 Substitute Authorization
First Name
Last Name
Former Last Name(s)
Birthdate
Email
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Address
City
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Alabama
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Texas
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Yukon
ZIP Code
Education History
I have previously attended Buena Vista University
Yes
Previous School(s) Attended
My school(s) is not listed
Please list your previous schools attended
Course Start Date
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June 17, 2024
July 22, 2024
Sept. 16, 2024
Nov. 4, 2024
Jan. 20, 2025
Mar. 10, 2025
June 9, 2025
Please note: course start dates are subject to change should minimum enrollments for the course not be met.
Current Employer
Optional Information
Ethnicity
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American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian/Other Pacific
White
Other
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Are you Hispanic or Latinx?
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No
As which gender do you identify?
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Male
Female
I use a different term/Prefer not to answer
Optional: How do you identify?