RDA Enrollment Form : Extended Learning / TXST Online / Continuing Education : Texas State University

Hello! Thank you for your interest in this course. Please fill out the form below to enroll and make payment for the course.

Please make sure to fill out the entire form, and to make payment at the end.

First and Last Name *

Please enter only your first and last name

Email Address *

Please enter the email address you wish to enroll with

Street Address *

Please enter only your street address or PO Box

Apartment # or Suite #

This is optional if you have an apartment/suite number

City *

Please enter the city your home address resides in

0/25

State *

Please enter the state your home address resides in

0/2

Zip Code *

Please enter your zip code

Phone Number (with Area Code) *

Please enter your phone number with area code

Once you click ENROLL below you will be taken to the self-pay portal to complete enrollment.

If you wish to pay via Sallie Mae or through the Texas Workforce Commission, please click ENROLL and then close the self-payment page.

Thank you.

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