Badge / Microcredential Registration Form

Generate PIN

Source

*Entry Term

Start Session

Program

Degree

Curriculum

Department

Population (Audit-59 or younger)

Full/Part

NonTrad

App Status

App Decision

App Submission

Personal Information

Current Email Address

First Name

Middle Name

Last Name

Date of Birth

Telephone Numbers (include country code when necessary)

Mobile Phone Number (with area code)

*May we contact you via text messaging? Standard message and data rates may apply.

Yes

No

Home Phone Number (if different than mobile number)

Address Information

Permanent Address

Country

Street

City

Region

Postal Code

Is your mailing address different than your permanent address?

Mailing Address

Country

Street

City

Region

Postal Code

How do you prefer to be contacted? Select all that apply

Email

Phone Call

Postal Mail

Text

Citizenship Information

Primary Citizenship

Secondary Citizenship

Are you a U.S.A. permanent resident?

Yes

No

Social Security Number (SSN)

Course Selection

Course Selection
Please list course code and name

The Generative AI Accelerator Workshop is offered in person on Hilbert’s campus (4:00–6:00 pm) or virtually via Zoom.

What is the course learning format?

On Campus

Virtual Synchronous via Zoom

Course Payment

Amount Due
Loading...

Amount Due

Loading...

Signature / Submission Authorization

By clicking the "Submit My Application" button below, you authorize Hilbert College to process your information and to register you for the courses listed above for the designated start session(s) in lieu of a written signature. Submitting this form will begin the registration process. Once your registration has been confirmed, a bill will be generated, which will be based on the number of courses you registered for. Students may withdraw from any course prior to the start of the session by contacting the records office directly.

You also certify that the information entered in this application is complete and true to the best of your knowledge and understand that any intentional falsification can lead to a denial of registration.

While enrolled as a student at Hilbert College, you agree to comply with all the rules and regulations in effect during the time of your attendance as outlined by the Student Handbook.