Osher Lifelong Learning Institute at the WVU Center on Aging

Course Registration Form

Enter your Contact Information:

Name:
Address:
City:
State:
Zip:
Phone:
Email:

You may submit this form multiple times if you wish to register for additional classes. If you register for a class, please consider it a commitment to attend each session if at all possible. You will receive a copy of this Course Registration Form via e-mail after you submit it. Course Confirmations are not mailed out. However, if a student is wait-listed a notice will be sent in the mail. Please keep a copy of the Schedule of Courses to know when each class meets and where it is located.

Please Enter the Listing Number and Title of Your Course Selection(s):

1. Course #:		Title:
2. Course #:		Title:
3. Course #:		Title:
4. Course #:		Title:
5. Course #:		Title:
6. Course #:		Title:
7. Course #:		Title:
8. Course #:		Title:
9. Course #:		Title:
10. Course #:		Title:

Special Considerations

All our facilities are accessible by wheelchair or walker. Please let us know if you have concerns about our accessibility or if you have any other questions:

Class Volunteers

Each class needs a teaching assistant to introduce the instructor and distribute class materials as well as a technology assistant. If you would like to volunteer to be a Teaching Assistant or Technology Assistant, please fill out the fields below.

I would like to be a Teaching Assistant for the class:

I would like to be a Technology Assistant for the class:

Inclement Weather

Please remember that the cancelling of classes due to inclement weather is left up to each individual instructor. When class is being cancelled, you will either get a call from the TA or the instructor of that class.

If you have any questions about this form, please call the OLLI office at 304-293-1793. To cancel registration for a course please call the OLLI office.

Office hours are Monday through Friday from 9:00 am until 5:00 pm.