JSU Distance Learning - Information Request

Need More Information?

To request general information about Distance Learning at JSU, please complete and submit the form below.
You may also contact us by mail, telephone or email.
Go to our Staff pages to contact a specific member of our Distance Education staff.
If you need to contact other JSU faculty, staff or offices, go to JSU Contact Information.

Please fill in the form completely so that we can serve you better.

Contact Information
First Name:
Middle Name or Initial:
Last Name:
Address:
Address:
City:
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Email Address:
Employer:
Employer's Zip/Postal Code:
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Additional Information
Yes No	Are you a U.S. citizen?
Yes No	Do you need Financial Aid information?
Yes No	Does your employer offer tuition reimbursement?
How did you learn about Jacksonville State University (Please select All that apply)? By means of... Referral Magazine, Journal, or Newsletter Direct Mail Local Newspaper College Guide Public Transportation Internet Search Engine (i.e. Google, Yahoo, etc.) My JSU Online web site (http://jsuonline.com or http://myjsuonline.com) Radio Television Recruiting Video Site Recruiter Other, Not Sure
What brought you to the Distance Learning web site today (Please select All that apply)? By means of... Friend Radio Ad Television Ad Alumni Referral Direct Mail Internet Search Engine (i.e. Google, Yahoo, etc.) My JSU Online web site (http://jsuonline.com or http://myjsuonline.com) Not Sure
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Submit Request

Other Contact Methods

Email your comments & questions to:
DLInfo@jsu.edu

Mail your comments & questions to:
Office of Distance Education - Jacksonville State University
700 Pelham Road North, Jacksonville, Alabama, USA 36265-1602

Call us with your comments & questions at:
(256) 782-8172 or 1-800-231-5291

If you have comments or questions about the Distance Learning web site, send email to
the Distance Learning Pagemaster. Be specific about what page you are referring to, and include your email address if you need a response.

Distance Learning Links