The following information is included in a record of non-credit course enrollment:
- PSU ID Number
- Date of birth (month and day)
- List of all non-credit course(s) taken at Penn State and grades if applicable
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: _____________________________________