Enrollment Report

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

____ Business and the Law
____ By the Numbers
____ Crossroads Café
____ The Endless Voyage
____ The Examined Life
____ Framework for Democracy
____ The Human Condition

____ Inside Out

____ Our Families, Ourselves
____ Personal Finance
____ Portrait of a Family
____ Preserving the Legacy (Intro. to Environmental Technology)
____ Preserving the Legacy (Industrial Processes & Waste Stream Mgmt)
____ The Sales Connection
____ Something Ventured
____ Taking the Lead
____ The Unfinished Nation I
____ The Unfinished Nation II
____ The Way We Live

An invoice will be issued according to the terms of the Distance Learning Course License Agreement between your institution and INTELECOM. If enrollments are reported for a course which is lacking a current license, an INTELECOM Representative will contact you.

___ 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.

Term: ___________________________________________________

First Name: _______________________________________________ 

Last Name: _______________________________________________

Institution: ________________________________________________

Phone: ____________________Email: _________________________

Print this page and fax or mail to INTELECOM at the address listed below.

INTELECOM Intelligent Telecommunications, 150 East Colorado Boulevard, Suite 300, Pasadena, California 91105
Phone: (626) 796-7300; Fax: (626) 577-4282