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University of Nebraska–Lincoln

UNL Independent Study

Your distance college classes are all here.

CIS Web Inquiry Form

Thank you for your interest in Independent Study college courses from the University of Nebraska-Lincoln. To receive more information regarding our offerings, please fill out the form below.

Note: Required fields are marked with a red asterisk *.

Personal Information
First Name*:  MI:   Last Name*:
Gender: Male Female
Address 1*:  
Address 2*:
City*:  State/Province*:
ZIP Code*: Country*:
Day Phone:
Evening Phone:
E-mail*:
How would you prefer to be contacted? Phone E-mail

About You

From what institution will you receive your degree?

UNL
UNO
UNK
UNMC
Other

Which program(s) are you interested in (check all that apply)*

College Independent Study (self-paced, open enrollment classes for any student)
“X” Courses (semester-based, online classes for UNL students)
Summer Independent Study Courses (online summer option for students in the Lincoln area)
Fire Protection Technology (flexible program offered on the UNO campus in Omaha)
Other (please explain)

Why are you interested in Independent Study? (check all that apply)*

I couldn’t get the class I needed on campus.
I have lots of commitments, so I need more flexible course options.
I needed unexpected credits to graduate on time.
I’m in the military and want to earn college credits now.
I need a few general education courses to qualify for a degree program.
I’m in nursing school and want to finish some courses online.
Other (please explain)

How did you hear about us? (check all that apply)*

Advertisement
Brochure
Conference or event
Directory
Direct Mail (letter, postcard, etc.)
Independent Study Course Catalog
Internet
Newspaper
Other (please explain)
Referral
Family/Friend
Advisor/Faculty/Administrator
Name
School