Badge Course Registration

Are you currently enrolled at Clarkson University?

CU Student Number

CU Email Address

NOTE: All communications about your account and registration will go the email address provided on this form.

Email Address

First Name

Last Name

Birthdate

Choose the Course you would like to register for. For more information on these courses, please go here:

Badge Course

Address Information (Required)

Country

Street

City

Region

Postal Code

Additional Information

* Do you receive a free/reduced lunch?

* High School Grade Year

If you wish to be identified with a particular ethnic group, please select the choice that most accurately describes your heritage. No information you provide will be used in a discriminatory manner.

Are you Hispanic or Latino?

Yes

No

Amount Due

Transaction Fee

Dependent on selected payment type

Total

Dependent on selected payment type

Method

Credit Card / Debit Card

Checking Account

Card Security Code

The American Express security code is a 4-digit number printed on the front of your card. It appears after and to the right of your card number.

4-digit Card Security Code:

The verification number is a 3-digit number printed on the back of your card. It appears after and to the right of your card number.

3-digit Card Security Code:

Checking Account

This option is available for bank accounts in the United States. Copy the transit/routing and account numbers from the bottom line of your check. Your check will be processed electronically. You do not need to mail a check.

Routing Number
Account Number