Fillable CLASS REGISTRATION FORM

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CLASS REGISTRATION FORM

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The CLASS REGISTRATION FORM form is 1 page long and contains:

  • 2 signatures
  • 6 check-boxes
  • 119 other fields

Country of origin: US
File type: PDF

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ONLINE DEPT
COURSE
NUMBER
SECTION
NUMBER
TITLE
COURSE
HOURS
MEETING
DAYS
MEETING
TIMES
NAME ID NUMBER (IF KNOWN) OR SS #
ADDRESS
HOME PHONE CELL PHONE DAY PHONE
E
-MAIL BIRTH DATE / /
Personal information requested on this form will be used for identification and communication purposes. Personally identifiable student information
is protected under the provisions of the Family Educational Rights and Privacy Act (FERPA).
CLASS REGISTRATION FORM
SESSION: ❑ FALL ❑ SPRING ❑ SUMMER I ❑ SUMMER II
INTENDED DATE OF GRADUATION / MAJOR OR PROGRAM
NAME TO BE PRINTED ON DIPLOMA
❑ CHECK IF CHANGED
(where you receive mail) ❑ CHECK IF CHANGED
MONTH DAY YEAR
MONTH YEAR
STUDENT SIGNATURE ADVISOR SIGNATURE DATE
NOTE: Submission of this registration form obligates you to pay tuition and fees for all courses for which you are registered at the
beginning of the academic session. Notification of registration change or cancellation must be submitted IN WRITING to the Registrar.
ALTERNATE COURSES MUST BE LISTED
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CLASS REGISTRATION FORM

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Completed 1 August 2021

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