East Arkansas Community College
 Department of Distance Learning
 

 

Last Name   

First Name   

Zip Code    

Last 4 digits of your Social Security Number   

Email Address     
(you must have an email account to submit this form)

 

Please type the semester and the courses you wish to take in the box below.

Note:  Submission of this form does NOT enroll you in a class. 
You will receive an email from Distance Learning in 1 to 2 days to complete the enrollment process.