Please provide the contact information for the student that will be attending. Parents and those registering on behalf of a student should enter the student's information.

Contact Information

Personal Information
Birthplace and Nationality
Email Address
Telephone / Fax
Please include international dialing information in the area code field if applicable.
Enrollment Data

Georgetown SCS is required to collect and report the following data to the U.S. Department of Education. Please note: any future edits to the race and ethnicity information you provide may be done only through a written request to the Registrar's Office.

Please indicate your ethnicity
Please indicate your race from one or more of the following

Employer Information


Contact and Privacy Preferences

Privacy Policies

The Family Educational Rights and Privacy Act (FERPA) is a United States law that protects the privacy of student records. Destiny University must have your explicit permission to release your contact information.

Your Employer/Affiliation(s) listed above allow you to choose to have your employer/group billed or to avail of membership discounts (when applicable) when you enroll for courses. This choice will be presented to you each time you enroll.

Please type your initials into each of the boxes below to indicate that you have read and understand these privacy policies:

Mailing List Preferences
May we contact you about courses and certificates that we think may interest you?

Please note: by choosing "Yes" below, you agree that Georgetown School of Continuing Studies may contact you about its course and certificate offerings, and further agree that Georgetown School of Continuing Studies may share limited portions of your contact information with third-parties for the purposes of providing you with information about its course and certificate offerings.

Yes, you may contact me only by the following methods (check all that apply):


For additional information or assistance, please contact the Georgetown School of Continuing Studies.
Privacy Policy
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