For more information or to join the waiting list

Thank you for your interest in LIFE@Elon, the lifelong learning program at Elon University! If you would like to find out more, please complete the form below.

Registration for the next academic year begins in June for current members and July for new members. Our classes begin in mid-September, so we will be in touch over the summer with details to join. Thank you!

Title*
Enter your preferred title
Name*
First Name Middle Initial Last Name
Nickname
Please enter the name you wish to be called; this will be printed on your nametag.
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Home Phone
Cell Phone
Email
Class Preference*
Please rank your preferences. Note: preferred classes are not always guaranteed.
Class Preference #2*
Class Preference #3*
Class Preference #4*
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Class Preference #5*
Elon Alum
- Yes
- No
Class Year
Elon Parent or Grandparent
- Yes
- No
Class Year(s) of Student(s)
Retired (or Former) Elon Faculty or Staff
- Yes
- No
Department
Hobbies and/or Interests
How did you hear about LIFE@Elon?
Name of friend and/or family member
Please explain:
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Phone
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