Corporate Programs Registration

Page 1

Identity Verification

In order to start your graduate studies, we need to verify who you are to create your student record.

Prefix

Legal First Name

Preferred First Name

Middle

Last (Family) Name

Former Last Name

Date of Birth

mm/dd/yyyy

Gender

Contact Information (please use primary residence information)

Country

Address

City

State/Province

Postal Code

Preferred Method of Communication

Phone NumberEmail

Area Code + Phone Number

Country Code + Phone Number

E-mail

Confirm E-mail

*Upon cohort launch, instructions to create your computer accounts will be sent to this email address.

Additional Information

Please select your company

Program

Please enroll me in the following course

Include course number & title.

Undergraduate Degree

Undergraduate GPA

Please enter your Undergraduate Degree

If you selected "other" from the degree drop-down, please type the name of your undergraduate degree.

Have you earned a Graduate Degree?

YesNo

Graduate Degree

Graduate GPA

Are you a WPI Alumni?

YesNo

Privacy Statement

Office of Corporate and Professional Education - Worcester Polytechnic Institute

100 Institute Road, Worcester, MA 01609-2280 | Phone: +1-508-831-5517 | Fax: +1-508-831-5694 | online@wpi.edu

Page 2

Enrollment Agreement

We are delighted that you have decided to pursue your graduate studies with WPI. As a graduate student at WPI, there are a number of policies and procedures that apply to various aspects of your study, including but not limited to:
*Please open in a new window to view these policy and procedures websites.

Before we process your new program registration, we require you to acknowledge that you will be subject to all WPI's policies, procedures, and standards, and that you will follow the published appeal/petition procedures when requesting an exception to these policies.

I understand that by submitting this form I will be registered for a corporate cohort program and will be subject to all applicable university policies.I am not ready to acknowledge these policies and finalize my registration. (If you select this option, we will keep your registration information on file for easy future re-submission and an online team member will contact you to address any questions or concerns).

Privacy Statement

Office of Corporate and Professional Education - Worcester Polytechnic Institute

100 Institute Road, Worcester, MA 01609-2280 | Phone: +1-508-831-5571 | Fax: +1-508-831-5694 | online@wpi.edu