New Account Registration

To complete the registration process, please fill out the form below.
All fields are required.

To learn more about the program cost, click here.

Account Information

(Note: Using a mix of letters, numbers, and special characters makes for a more secure Password).

Home Address


(ex: 555-555-1234)

Employment Information


(ex: 555-555-1234)
Preferred Mailing Address?

Memberships

Please indicate which organizations you are a member of (leave blank if you are not a member of any of these organizations):

Education Background

Are you currently an Ohio State student?

Have you ever attended Ohio State?

If yes then please indicate the last college of enrollment, year and quarter:

Have you attended other universities?

If yes then please indicate the college/university, degree(s) received and date:

Are you currently under suspension or dismissal from any post-high school education program including Ohio State?

If yes then please explain:

Additional Information