Montessori Northwest - Student Registration Form

If you are not enrolling in the Montessori master’s program at Whitworth University, you must be registered as a Whitworth student in order to stay in on-campus housing. Please complete the form below to register prior to filling out the housing form.

How it Works:

Completing this form will allow us to create a Whitworth University record for you and enroll you as a non-matriculated student.
We will register you to audit the AMI diploma courses your cohort is enrolled in at no charge.
These classes are the AMI coursework you are completing with your trainer, not additional classes. You will not receive credit for these courses or an academic record stating you were participating in a degree program as a result of this registration.

If you have questions, contact Sonja Steele at ssteele@whitworth.edu or 509.777.4809. I am available Monday through Thursday, 10 a.m. to 3 p.m.

*Indicates a required field

Cohort Selection

Select the group you will be enrolled in:

Group 1 – June 5th to July 12th

Group 2 – June 20th to August 2nd

Selecting your cohort will serve as your permission to be registered to audit the courses listed at no charge.

Personal Information

First Name

Middle Name

Last Name

Preferred Name

Birthdate

Phone Number

Phone Type

Mobile Phone

Home Phone

Email Address

Sex

Mailing Address

Country

Street

City

Region

Postal Code

Citizenship

State/Region of Residency

Social Security Number

Highest Degree Earned

Preferred Gender

Gender (other)

Preferred Pronoun

Pronouns (other)

Race (select all that apply)

Ethnicity

Please upload a copy of State Issued ID. If you are a foreign student, please upload a copy of your Passport.

By typing my name below, I certify that all information provided in this registration form is true and accurate to the best of my knowledge.

Student Signature:

Program set to MNW Summer Program