CAP - Online Course Request

Upon submission, you will receive a copy of this request in your email.

*Indicates a required field.

*Legal First Name

Middle Name

*Legal Last Name

*Primary Email Address (used on CAP Application)

*Secondary Email Address (different from what was used above)

*Birthdate

*Select your primary high school from the following list.

*What is the name of your primary high school?

*Do you plan to take a CAP course at a location other than your primary high school?

Yes

No

*What other school do you attend where you plan to take CAP coursework?

*What CAP course are you requesting? If you are signing up for more than one course, you will be asked for additional course(s) below.

Courses will appear based on where you indicated you were taking CAP coursework.

*Are you requesting another USI CAP course this semester?

Yes

No

*What is the second CAP course are you requesting? If you are signing up for more than one course, you will be asked for additional course(s) below.

Courses will appear based on where you indicated you were taking CAP coursework.

*Are you requesting a third USI CAP course this semester?

Yes

No

*What is the third CAP course are you requesting? If you are signing up for more than one course, you will be asked for additional course(s) below.

Courses will appear based on where you indicated you were taking CAP coursework.

*Are you requesting a fourth USI CAP course this semester?

Yes

No

*What is the fourth CAP course are you requesting? If you are signing up for more than one course, you will be asked for additional course(s) below.

Courses will appear based on where you indicated you were taking CAP coursework.

*Are you requesting a fifth USI CAP course this semester?

Yes

No

*What is the fifth CAP course are you requesting? If you are signing up for more than one course, you will be asked for additional course(s) below.

Courses will appear based on where you indicated you were taking CAP coursework.

Juniors and Seniors: To enroll in CAP for the first time, you must have a cumulative GPA of 2.5, unrounded, on a 4.0 scale. Some CAP courses have additional course prerequisites. If you are a returning CAP student, your GPA was verified upon your acceptance into the program.

Sophomores: To enroll in CAP, you must have a cumulative GPA of 3.0, unrounded, on a 4.0 scale and permission from a counselor or instructor (collected by CAP Office on your behalf). Some CAP courses have additional course prerequisites.

Do you have the required GPA?

Your GPA will be verified by your school prior to registration.

Juniors and Seniors: To enroll in CAP for the first time, you must have a cumulative GPA of 2.5, unrounded, on a 4.0 scale. Some CAP courses have additional course prerequisites. If you are a returning CAP student, your GPA was verified upon your acceptance into the program.

Sophomores: To enroll in CAP, you must have a cumulative GPA of 3.0, unrounded, on a 4.0 scale and permission from a counselor or instructor (collected by CAP Office on your behalf). Some CAP courses have additional course prerequisites.

Do you have the required GPA?

Your GPA will be verified by your school prior to registration.

Yes

No

Not Sure

Please confirm your cumulative GPA with your counselor. If it is below the required 2.5, you will not be able to move forward with registration in a CAP course.

FERPA Information

In compliance with the Family Educational Rights and Privacy Act of 1974, the University of Southern Indiana does not release grade, academic progress or billing information without student consent. This information is confidential. Therefore, if you wish to allow your CAP instructor to discuss your CAP grade or CAP academic progress with your parents or other designee, or if you wish to allow USI employees to discuss your billing with your parents or other designee, you must agree to the statement below and specify who is authorized on your behalf.

I authorize my CAP instructor to discuss my CAP grade and/or CAP academic progress with the person(s) I will indicate on the next screen. I authorize USI employees to discuss my billing details with the same person(s). I understand this consent will remain in effect through the end of the term the course began or until rescinded by myself in writing to the CAP Office (cap@usi.edu).

Yes

No

*Provide the name of the parent/guardian you wish to release your FERPA rights to and indicate their relationship to you:

*First Name

*Last Name

*Relationship

*Provide the relationship of the person you are releasing your FERPA rights to:

*Do you have an additional person you would like to release your FERPA rights to?

Yes

No

*Provide the name of the second parent/guardian you wish to release your FERPA rights to and indicate their relationship to you:

*First Name (Second Parent/Guardian for FERPA)

*Last Name (Second Parent/Guardian for FERPA)

*Relationship (Second Parent/Guardian for FERPA)

*Provide the relationship of the second person you are releasing your FERPA rights to:

Do you agree to check your email to receive regular and important information from the USI College Achievement Program (CAP)? Enrollment will not be permitted at a later date for failing to read or open important messages regarding your enrollment process.

I Agree

Hit 'Submit' below to complete requesting your CAP course(s). The CAP Office will review your request and register you in the course if you meet the enrollment criteria.