Enrollment Report

1. Enter your institution's total enrollments for all courses in use this term. (Total enrollments are defined as the closing date of registration.)

Business and the Law:

By the Numbers:

Crossroads Café:

Earth Revealed* :

The Endless Voyage:

The Examined Life:

Framework for Democracy:

Humanities Through the Arts* :

The Human Condition:

Inside Out:

Literary Visions* :

Our Families, Ourselves:

Preserving the Legacy (Industrial Processes):

Preserving the Legacy (Introduction to Env. Tech.):

The Sales Connection:

Something Ventured:

Taking the Lead:

The Unfinished Nation I:

The Unfinished Nation II:

The Way We Live:

Courses marked with (*) apply to colleges of the Southern California Consortium only.

An invoice will be issued according to the terms of the Agreement between your institution and INTELECOM. Please print this page for your records prior to submitting. To submit online, click on the bar below. To submit by mail or fax, please print and complete the form; then mail or fax to: INTELECOM, 150 E. Colorado Blvd., Suite 300, Pasadena, CA 91105. Fax: (626) 577-4282.

2. Enrollment Information

Certify Enrollment: *

I certify that the enrollment information is accurate and that, as the person named below, I am duly authorized to report this information to INTELECOM.

3. Contact Information

First Name:

Last Name:

Title:

Institution:

Email:

Phone:

Term (e.g. Fall 2009):