Fillable Audit Reg Form (University of Lethbridge)

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Audit Reg Form (University of Lethbridge)

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Country of origin: CANADA
File type: PDF

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Registrar's Office
4401 University Drive
Lethbridge,
Alberta T1K 3M4
Fax: 403-329-5159
Phone: 403-320-5700
regoffice@uleth.ca
University of Lethbridge Student ID Number (if you have already been given one)
Former Last Name(s)/Family Name(s) (if applicable)
Gender Date of Birth (YYYY/MM/DD)
o Female o Unspecified
STUDENT CONTACT INFORMATION
Street Address
City/Town Province/State
Country Postal/Zip Code
Telephone Number Email Address
ADDITIONAL INFORMATION
Immigration Status
o Canadian Citizen o Permanent Resident of Canada (Landed Immigrant) o Refugee
o Study Permit o Other Permit (please specify):
Country of Citizenship (if not Canada)
First Spoken Language (The first language you learned and still understand)
REGISTRATION INFORMATION
Term
o Fall (Sept - Dec) 20_____ o Spring (Jan - Apr) 20_____ o Summer (May - Aug) 20_____
Course Registration
REQUEST TO AUDIT A COURSE
Legal First/Given Name
PERSONAL INFORMATION
Legal Middle Name
Legal Last/Family/Surname
Preferred First Name
Instructor's Signature Date
o Male o Undeclared
Course Subject and Number
(e.g. WRIT 1000)
Section
(e.g. A)
CRN
(e.g. 10010)
Lab
(if applicable)
Tutorial
(if applicable)
Instructor's Name
Please fill out all information requested below in order to see your request processed as q
uickly as possible.
AUDIT FEE
You are required to
pay non-refundable tuition at 50% the cost of the course you are auditing.
How to pay: In-person (Lethbridge - SU140 or Calgary - S6032). Pay by debit, Visa, MasterCard, cash (Lethbridge only), or cheque
DECLARATION
For Office Use Only
The personal information on this form is collected under the authority of the Post-secondary Learning Act (Alberta) and the Freedom of Information
and Protection of Privacy Act (Alberta). Your information will be used for admission; registration; scholarships and awards administration; academic
progress monitoring; planning and research; alumni relations; contacting you about University courses and services; and operating other University-
related programs. The University of Lethbridge may share and disclose information within the University to carry out its mandate and operations.
Specific data will be disclosed to the relevant student associations, and to the federal and provincial governments to meet reporting requirements. For
questions on the collection, use and disclosure of this information, please contact the University's FOIP Coordinator at 4401 University Drive West,
Lethbridge, AB T1K 3M4; email: foip@uleth.ca
; tel.: 403-332-4620.
Once complete, print this f
orm, get the instructor's signature and bring it to the Lethbridge Registrar's Office (SU140) or the
Calgary Campus Office (S6032).
Applicant's Signature if submitting paper copy
o I understand that when I audit this course, I will not participate in class discussions (unless invited to by the instructor), submit
assignments, write quizzes or exams, or receive credit. I must get permission to audit the course from the instructor (signature
required above).
Date of Application
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Audit Reg Form (University of Lethbridge)

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Completed 20 July 2020

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