Please enter all information to help us locate, track, and resolve the problem you are experiencing. Please be aware that during peak registration times (beginning of the quarter), there may be a delay in the response to your technical problem.

While your technical problem is being investigated, you can also try the phone registration system. See Phone Registration Instructions for more information.

• Note: If you are connecting to the registration system behind a proxy (many times this is the case with large corporations), your network's security settings may not allow you to connect to the system. The system will display an error similar to "Cookies need to be enabled" -- even though your browser's cookies are enabled. Unfortunately, we have not found a solution to this problem. The phone registration system is another option to consider.

What is your full name? (required)

If you're a De Anza student, enter your 8 DIGIT SID:
(example: 10000001)

What is your e-mail address? (required)

(example: name@email.com Double check your entry for correctness. )

In case we need to talk to you, what is your phone number? (required)

(Please include area code, example: (408) 555-4567)

Enter date and time you experienced this problem:

(Example: 9/22/2003 9:15 AM)

Your location:
Off Campus   On Campus

Your Internet connection type:
Dial-up   Broadband (Cable / DSL / LAN)

Enter your Internet service provider:

(Example: AOL, Comcast, Earthlink)

Computer Type:
PC   Macintosh   Linux/Unix

Enter your operating system:

(Example: Windows 2000/XP, Mac OS 9.2, Mac OS 10.2)

Enter browser name and version*:

(Example: IE 6.0, Firefox 1.5)
* Note: The registration system has been tested on IE6, FireFox 1.5 and Safari 1.2

You are using the system to:
Apply   Register  

Enter the term you are applying or registering for:

(Example: Fall 2003)

List other applications running at the time problem occurred:

(Example: Norton Anti-Virus, firewall, anti pop-up)

Enter error messages received:

Enter detailed description of problem:

Please click button once ---