Guest Student Course Request Form

Asterisk (*) indicates a response is required.

NOTE: First-time guest students and guest students out over a year must complete an application to the college. Please apply here

NOTE: Availability for certain courses, including Calculus and Physics, is limited. We cannot guarantee registration in courses. You will be notified by an advisor after submitting your guest registration request form if no seats are available in the course you have selected at the time your request is processed.

Class(es) in which you wish to enroll
Below is an example of a course listing and how the course information should be entered into the form. You can find the current class schedule here.

Example of a course listing

Below is an example of how to enter a course listing into the form.

Example of how to fill in the form


Section Number

Course Title

Dates/Times
Location
(Online or College)

Credits

Instructors
   *
   *

It is the policy of Eastern Iowa Community College District not to discriminate in its programs, activities, or employment on the basis of race, color, national origin, sex, disability, age, sexual orientation, gender identity, creed, religion, and actual or potential family, parental or marital status, as required by the Iowa Code §§216.6 and 216.9, Titles VI and VII of the Civil Rights Act of 1964 (42 U.S.C. §§ 2000d and 2000e), the Equal Pay Act of 1973 (29 U.S.C. § 206, et seq.), Title IX (Educational Amendments, 20 U.S.C. §§ 1681-1688), Section 504 (Rehabilitation Act of 1973, 29 U.S.C. § 794), and Title II of the Americans with Disabilities Act (42 U.S.C. § 12101, et seq.).

If you have questions or complaints related to compliance with this policy, please contact EICC’s Equal Employment Opportunity Officer/Equity Coordinator, Eastern Iowa Community College District, 101 West Third Street, Davenport, Iowa 52801, 563-336-5222, equity@eicc.edu or the Director of the Office for Civil Rights U.S. Department of Education, John C. Kluczynski Federal Building, 230 S. Dearborn Street, 37th Floor, Chicago, IL 60604-7204, Telephone: (312) 730-1560 Facsimile: (312) 730- 1576, TDD (800) 877-8339 OCR.Chicago@ed.gov.