Registration Form

PBCTS Registration Form
Select Quarter Term:*

FallWinterSpringSummer
Please fill in the school year of this registration: *
Student Name*

First NameLast Name
Degree Program:*

CertificateAssociatesBachelorsMasterDoctoral
Student Status:*

Full Time (taking 3 or more classes)Part Time (taking 1-2 classes)Audit (taking the class for no degree credits)Other
Best Contact Number*

Area CodePhone Number
Mailing Address*

Street Address

CityState / Province

Postal / Zip CodeCountry
E-mail*
Verify Email*
Class Registration

Course Selections*

Steps for completing your tuition payment

*After completing this registration form, you will be able to process your tuition payment. You have the options of paying electronically using a Credit/Debit Card or by a ACH Bank payment. You can also mail in your payment. If you want to pay your tuition electronically, you can do so by going to our eGiving site at https://www.myegiving.com/app/giving/pbctstuitionpayment ....If you prefer to mail it in, our mailing address is: PBCTS, 301 Goode Way, Ste. 205, Portsmouth, VA 23704-2266.
Will make my Payment:*

Mailing Check or Money OrderCredit or Debit Card (VISA, Master, Discover) or via ACH bank transfer. Please see the e-giving portal link on the Tuition and Registration page.
Check the box to complete this security step*
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PBCTS Registration Form