Extension Enrollment Form for Inactive and Non-Texas State Students

Residency Status

If you have a Texas State ID, your residency status has been established. For new students, residency status, as determined by the university, will automatically defer to “Non-Resident." This does not affect the fees charged for your Extension Courses. If you are classified as a non-resident and wish to be considered for reclassification as a resident, complete the residency paperwork through the Office of Undergraduate Admissions.

Previous or Current Affiliation with Texas State University

If you are a former or current Texas State University student, you have previously applied for a Texas State course or program, or you have worked for Texas State University or the Texas State University System, Online and Extended Programs must associate this application for Extension coursework with your previous Texas State ID.

Please enter your Texas State ID number (A00......) if one has ever been issued to you.

First Name

Middle Initial

Last Name

Previous / Other Names

Address

City

State

Zip Code

Primary / Cell Phone Number (including area code)

Email Address

Please note that when your application is approved, you will be issued a Texas State University student email account. The Texas State University email is the official channel of communication between you and Online and Extended Programs.

Date of Birth

Sex/Gender
(Required by the State of Texas, for annual reporting of student demographics)

Male
Female

If you are not a Texas State student, what college or university do you attend?

Anticipated date of graduation (month/year)

What is your major?

What is your minor?