BYU INDEPENDENT STUDY ENROLLMENT FORM
Upon registering for your course through BYU, you will need the following information. Please
make sure the enrollment is done carefully. You will need your social security number for
registration. Also, in order to take the online version of the course, you need an active,
professional email address.
Name: _________________________________________ ID ________________
Date received: _________
Information needed:
Course Title _____________________
Course Number ____________
Course Title _____________________
Course Number ____________
Course Title _____________________
Course Number ____________
Course Title _____________________
Course Number ____________
Thornridge High School ACT Code: 141-618
Cost: $124.00 per ½ credit
*All BYU students are required by District 205 to take a final exam for each course. You must
first call South Suburban College (SSC) to schedule your exam. SSC has a $25.00 fee. Secondly,
request your exam on BYU’s website elearn.byu.edu or call
1-800-914-8931.
Testing Center: South Suburban College
(708) 596-2000 Ext. 2566
Cecilia Wilcox, Testing Coordinator
15800 S. State St.
South Holland, IL 60473
Payment Options
Online: log onto to elearn.byu.edu – credit or debit card required for payment
Phone: Call 1-800-914-8931 – credit or debit card required for payment
Mail: Complete registration form and mail to: BYU Independent Study
(Included check/money order or
120 Morris Center (MORC)
credit/debit card number)
Provo, UT 84602
All BYU students are required by District 205 to take a final exam for each course.
 You must first call South Suburban College (SSC) to schedule your exam. SSC
has a $25.00 fee.
Testing Center: South Suburban College
(708) 596-2000 Ext. 2566
Cecilia Wilcox, Testing Coordinator
15800 S. State St.
South Holland, IL 60473
 Secondly request your exam on BYU’s website elearn.byu.edu or call
1-800-914-8931.
(On the BYU website enter the Student link and select the REQUEST EXAM
link, click test center, and choose SSC. Complete the process by answering all
the questions and filling in the blanks.
All BYU students are required by District 205 to take a final exam for each course.
 You must first call South Suburban College (SSC) to schedule your exam. SSC
has a $25.00 fee.
Testing Center: South Suburban College
(708) 596-2000 Ext. 2566
Cecilia Wilcox, Testing Coordinator
15800 S. State St.
South Holland, IL 60473
 Secondly request your exam on BYU’s website elearn.byu.edu or call
1-800-914-8931.
(On the BYU website enter the Student link and select the REQUEST EXAM
link, click test center, and choose SSC. Complete the process by answering all
the questions and filling in the blanks.
DISTRICT 205 CREDIT RECOVERY PROGRAM
EXTERNAL COURSE APPROVAL
(SENIORS ONLY)
Student Name____________________________________________
ID# ___________________
SS# _________________________________
External Credit
Recovery Options:
Name of Course(s)
□ Brigham Young Univ.
Independent Study (BYU)
elearn.byu.edu
1-800-914-8931
□ South Suburban College (SSC)
15800 South State St.
South Holland, IL 60473
(708) 596-2000 or (708) 210-5718
______________________
______________________
______________________
______________________
______________________
______________________
______________________
______________________
1. Completion of course(s) is/are the sole responsibility of the student.
2. An official transcript for each completed course must be sent to the Registrar’s Office by May 1st.
3. A maximum of two external course credits (courses outside of District 205) may be applied
towards graduation requirements. Students may use only one external credit per academic
subject.
4. A final examination is required of all students. Final exams must be administered by the
approved institution. BYU students must schedule to take the final exam in the SSC Testing
Center.
5. BYU students who have chosen to complete the paper version of the course are advised to make
copies of all assignments before submitting them. BYU will not give credit for papers lost in the
mail.
6. External Credit Recovery Options may be used only to make up credit for a course that a student
has previously failed.
7. South Suburban College may require a placement test. Remedial level courses, course numbers
below 100, are not accepted for high school credit with the exception of some math courses.
Student Signature _____________________________________________
Date_________
Parent/Guardian Signature ______________________________________
Date_________
Counselor Signature ___________________________________________
Date_________