BEFORE YOU BEGIN -- please read all of the instructions. Accurate pre-registration data is very important to the ETL program, so please don't post your information until you are sure that you are ready to pre-register for only those courses that you will definitely be taking in the coming semester.

Only one form should be submitted. It should reflect all of the courses that you plan to take.

Before registering for any ETL courses, students must have first reviewed the Requirements for Spring, 2010.

CAUTION!: Failure to follow all of these procedures carefully, or an attempt to bypass any of the steps in the pre-registration or registration process, is likely to result in problems with your registration, your class assignment, notification of important ETL messages, and missing information about required course materials. Please save yourself hours of headaches later by exercising a few moments of care now!

We hope that you will not have to revise this information before the beginning of the semester, but if you do, please return to the administrative section of the ETL Website and choose the link for making a revision to your pre-registration.

REGISTRATION -- PART ONE
Student Pre-Registration Information:
The following information must be submitted to the ETL Program as the preliminary step in registering for this semester's courses. After submitting this form you will be given directions for completing the registration process.

If you can not submit this form for any reason, please contact etltech@gwu.edu.

Student Last Name
Student First Name
LAST FOUR DIGITS of your GW Identification Number (GWID)
Date of Birth (mm/dd/yy)
Address -- Line One
Address -- Line Two
City
State/Province	---- Choose From List ---- Outside the US or Canada Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Alberta British Columbia Manitoba New Brunswick Newfoundland Nova Scotia Northwest Terr. Ontario Prince Edward Island Quebec Saskatchewan Yukon
Zip/Postal Code
Country	---- Choose From List ---- UNITED STATES AFGHANISTAN ALBANIA ALGERIA ANDORRA ANGOLA ANTIGUA & BARBUDA ARGENTINA ARUBA AUSTRALIA AUSTRIA AZERBAIJAN AZORES BAHAMAS BAHRAIN BANGLADESH BARBADOS BELGIUM BELIZE BENIN BERMUDA BHUTAN BOLIVIA BOTSWANA BRAZIL BRITISH VIRGIN ISLANDS BRUNEI BULGARIA BURKINA FASSO BURMA (NOW MYANMAR) BURUNDI C.I.S.(FORMERLY U.S.S.R.) KAMPUCHEA CAMEROON CANADA CANARY ISLANDS CAPE VERDE CAYMAN CENTRAL AFRICAN REPUBLIC CHAD CHILE CHINA PROC (MAINLAND CHINA) CHINA, REP OF (TAIWAN) COLOMBIA COMORO ISLANDS COOK ISLANDS COSTA RICA CROATIA (WAS YUGOSLAVIA) CUBA CYPRUS CZECH REPUBLIC DENMARK DOMINICA DOMINICAN REP. DUBAI U.A.E. ECUADOR EGYPT EL SALVADOR ENGLAND ESTONIA ETHIOPIA FALKLAND ISLANDS FIJI FINLAND FRANCE FRENCH GUIANA FRENCH POLYNESIA GABON REPUBLIC GAMBIA GERMANY GHANA GIBRALTAR GILBERT & ELLICE ISLANDS GREECE GREENLAND GRENADA GUADELUPE GUATEMALA GUINEA GUINEA-BISSAU GUYANA HAITI HONDURAS HONG KONG HUNGARY ICELAND INDIA INDONESIA IRAN IRAQ IRELAND ISLE OF MALTA ISRAEL ITALY IVORY COAST JAMAICA JAPAN JORDAN KAMPUCHEA (WAS CAMBODIA) KAZAKHSTAN KENYA KUWAIT LAOS LATVIA LEBANON LESOTHO LIBERIA LIBYA LIECHTENSTEIN LITHUANIA LUXEMBOURG MACAU, (MAINLAND CHINA) MADAGASCAR MALAYSIA MALDIVES MALI REPUBLIC ISLE OF MALTA MARTINIQUE MAURITANIA MAURITIUS MEXICO MOLDAVIA (C.I.S.) MONACO MONGOLIA MONTSERRAT (W.I.) MORROCO MOZAMBIQUE MYANMAR (FORMERLY BURMA) NAMIBIA NAURU NEPAL NETH ANTILLES NETHERLANDS NEVIS, WEST INDIES NEW CALEDONIA NEW HEBRIDES NEW ZEALAND NICARAGUA NIGER NIGERIA NORTH KOREA NORTHERN IRELAND U.K NORWAY OMAN PAKISTAN PANAMA PAPUA NEW GUINEA PARAGUAY PERU PHILIPPINES PITCAIRN POLAND PORTUGAL QATAR REP OF MALAWI REPUBLIC OF CONGO REUNION ROMANIA RUSSIAN FEDERATION RWANDA RYUKU ISLANDS SAN MARINO SAUDI ARABIA SCOTLAND U.K. SENEGAL SEYCHELLES (INDIAN OCEAN) SIERRA LEONE SINGAPORE SLOVAKIA SOLOMON ISLANDS SOMALIA SOUTH AFRICA SOUTH KOREA SPAIN SRI LANKA ST KITTS (WEST INDIES) ST LUCIA ST VINCENT & GRENADINES) SUDAN SURINAME SWAZILAND SWEDEN SWITZERLAND SYRIA TANZANIA THAILAND TOGO TONGA ISLANDS TORTOLA TRINIDAD/TOBAGO TUNISIA TURKEY UGANDA UKRAINE UNITED ARAB EMIR URUGUAY VENEZUELA VIETNAM WALES U.K. WESTERN SAMOA WINDWARD ISLANDS, W. YEMEN YEMEN DEM PEOPLE'S YUGOSLAVIA ZAIRE ZAMBIA ZIMBABWE
Home Phone (Area Code first)	-
Work Phone Number (Area Code first)	-
Place of Employment
Occupation
GWU E-Mail Address (only!)*

^*Be absolutely sure that you only enter one E-mail address here, and that it ends with "@gwmail.gwu.edu" (most GW students) or with "@gwu.edu" (GW students who are also university employees). Unless you are a current GW employee you must obtain, and use, a "gwmail.gwu.edu" mail address for course-related correspondence. If you have not yet obtained a GWU mail address, please return to the ETL Program registration information site for instructions on doing so -- before completing this form.

Should you desire to have your mail sent to any other address, you will need to use the forwarding feature of your GWU mail account to send it there. All ETL correspondence will be sent (only) to GWU accounts!

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Please check your admission status:

I have been officially accepted as a degree candidate in the ETL Program.

I have not been officially accepted into the ETL Program. I have submitted my application to the ETL Program.

I have not been officially accepted into the ETL Program. I intend to apply to the ETL Program this semester.

I do not intend to apply to the ETL Program.

I am undecided.

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This semester I am registering for my first course(s) in the ETL Program (answer "No" if you are a returning student:

Yes
No

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I'm registering for my final ETL course(s) -- I plan to graduate this semester.
(NOTE: If your answer to the above question is "yes", please see "Graduation Information" in the Administrative section of the ETL Website at http://www.gwu.edu/~etl/students/grad.htm.)
Yes No

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Are you admitted to any GW program other than ETL?
Yes No

Is some company/organization to be billed by GW for your tuition? (This question only applies to students whose employer pays GW directly for their education.)
Yes No

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ETL Survey (Required)

I learned about the ETL Program through:

Online Search in Google
Online Search in Yahoo
Online Search in NewsweekDistanceLearning.com
GetEducated.com
Gradschools.com
Discovery Education (United Streaming)
Print Media
Word of Mouth
I Can't Remember

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Courses Offered This Semester

Important Note: Elective courses have registration "caps" that limit the number of students who may be enrolled. Admission to these courses is determined by availability at the time of final registration. This pre-registration in no way guarantees that a student will be placed into an elective course. If you need to take a specific course during a given semester, you would be well advised to complete all phases of registration early.

I wish to register for the following:

Required Courses
EDUC 232 / Applying Educational Media and Technology
EDUC 234 / Computers in Education and Human Development
EDUC 263 / Instructional Design
EDUC 295 / Quantitative Methods II

Electives
EDUC 261 / Developing Effective Training with Technology
EDUC 266 / Developing Digital Professional Portfolios

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PLEASE DO NOT CLICK THE "SUBMIT" BUTTON MORE THAN ONCE!