Penn State Office of the University Registrar

Record of Non-Credit Course Enrollment

Please fill out this online form, print (using "Print Form" button at bottom of page), sign and:
Return to:
Penn State Outreach Non-Credit Registration Office
P.O. Box 410
State College, PA 16804
Fax: 814-863-2765

The following information is included in a record of non-credit course enrollment:

  • Name
  • PSU ID Number
  • Date of birth (month and day)
  • List of all non-credit course(s) taken at Penn State and grades if applicable
Record of non-credit course enrollment:
Address where record of non-credit course enrollment is to be mailed:

Please review your entries on this form. If all of the information is entered correctly, please print (using "Print Form" button at bottom), sign and submit the form to the address at the top.

Student Signature: _____________________________________ Date: ___________________

Revised 7/6/11