Rhine Education Center: Course Application - Winter 2017

You must enter a separate application and make a separate payment for each course. Select your course in the appropriate section below.
Personal Information

Select Your Course (you must enter a separate application for each course)
Select the class for this application (you will be redirected to a payment site when you submit this form): *
Some courses are offered for grades, but students must request that the course be graded if the course is part of a certificate program. Do you want this course to be graded? (If the course is not graded, you will still have full access to the classes and forums.) *

Educational Background
1. Select the highest level of education achieved. *
 
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Technology Experience
1. Please indicate your level of experience with the internet. *
2. Please indicate your level of experience with reading and posting information to an online forum. *
3. Please indicate how comfortable you are with viewing online presentations that last more than one hour. *
4. Please indicate how comfortable you are with posting in a private and secure online discussion forum related to the course material. *
5. Have you ever viewed a course using Webex software before?  *
6. Do you have access to a computer that meets the minimum system requirements for this course? (Click Minimum System Requirements  to view the detailed technology requirements for this course.) *

General Information
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I understand that this is an academically oriented class and that all course materials are in English.  By checking this box, I certify that I can comprehend resources like academic textbooks, articles, and presentations with my understanding of English. *
I am interested in receiving additional information via email about courses or events sponsored by the Rhine Education Center and its affiliates. *

DISCLAIMER:  This course does not teach psychic abilities, but rather focuses on the scientific efforts related to paranormal activities.  Completing this course should not be considered as a qualification to offer or perform psychic services.


Electronic Signature

By typing my name below and submitting this application, I am confirming that all of the information provided in this application is accurate to the best of my knowledge.  I am also expressing an interest in attending a course offered by the Rhine Education Center. 

I also confirm that I understand that although there is no such thing as complete privacy when it comes to using the internet, all information provided on this application will be considered confidential and will be securely maintained by the Rhine Education Center.  The Rhine Education Center, The Rhine Research Center, and all of the employees and associates of this center will be held harmless in the event of an inadvertent breach of confidentiality. 

If you wish to pay by check, please contact the Rhine at 919-309-4600.  Please reference your course name and the amount of your payment.

All information is the sole property of the Rhine Research Center and cannot be reproduced or reused without the expressed written permission of the Rhine Research Center.