Enrollment Verification

1. Full Name *This question is required. (first, middle, and last)

2. Phone # (US only) *This question is required. (###-###-####)

3. Email address *This question is required. (Double check your email address. You will be sent an email verification of our receipt of this form when you submit.) This question requires a valid email address.

4. Degree/Program (과정) *This question is required. Please select your current Degree/Program at Central.
현재 센트럴의 어느 학위 과정에서 공부하고 계십니까?

5. Current Address in the U.S. (미국 주소) *This question is required. Please input your current residential address in the U.S.
미국 내 거주주소를 알려주십시오.

If your address has changed since the last update, please complete the CHANGE OF ADDRESS form.
주소가 변경되었다면 CHANGE OF ADDRESS form을 작성해 주십시오.

Enrollment Verification

Student Information