School of Education Graduate Non-Degree Information Request Form

First Name

Preferred First Name

Middle Name

Last Name

Drake ID# (if you don't have one or are unsure, please call 515-271-4803 to provide your SSN)

Birthdate

Email Address

Phone Number

Mailing Address

Country

Street

City

Region

Postal Code

Please view the course schedule here.
Course(s) you wish to register for:

Term (if J-Term, select Spring)

How did you hear about our Drake program?

Have you already talked to a Drake faculty/staff member about this?

Yes

No

If yes, please provide the Drake employee's name.

If you anticipate applying for an endorsement or degree program, please select the program below: