Forever Pioneer Registration Form

As an alumnus of Cal State East Bay we are pleased to offer you a 15% discount on select programs within Continuing Education. Registration must be processed via this Forever Pioneer form in order to qualify for the discount.

Last Name

First Name

NetID

Date of Birth

Street Address

City

Zip

State

Graduation Year

Major

Confirmation

I confirm that I graduated with a degree from Cal State East Bay. If my graduation cannot be verified, I agree to pay the standard fee for the course(s) listed below.

Program

Term

Course Start Date

Course Number

Course Title

Course Start Date

Course Number

Course Title

Course Start Date

Course Number

Course Title

Course Start Date

Course Number

Course Title

For details about our Withdrawal and Refund Policy, visit our Registration Policies website.

We will contact you after your registration form has been processed. Payment will be due at that time and must be received in full for enrollment to be valid.

Failure to pay fees within 48 hours of enrollment will result in being dropped from courses.

Please indicate your intended payment option below.

Personal check or money order payable to CSUEBOnline payment by credit card or electronic checkPaid by employerThird Party Payment (WIA, DOR, AmeriCorps, etc.)

Contact Information