Concordia College Minnesota State University Moorhead North Dakota State University
North Dakota State College of Science MState
Submit completed form to your Home Campus:
Concordia College: Registrar’s Office, Lorentzen 140, Fax 218-299-3224, registrar@cord.edu
Minnesota State University, Moorhead: Registrar’s Office, Owens 210, Fax 218-477-2941, registrar@mnstate.edu
North Dakota State University: Office of Registration & Records, Ceres Hall 110, Fax 701-231-8959, ndsu.registration.records@ndsu.edu
North Dakota State College of Science: Admissions & Records, Haverty Hall 101, Fax 701-671-2648, NDSCS.StudentRecords@ndscs.edu
MState: Registrar’s Office, MState Moorhead campus D123, Fax 218-299-6584, registration@minnesota.edu
Tri-College Minor Verification Form
My Home Campus: Concordia College Minnesota State University Moorhead North Dakota State University
North Dakota State Colllege of Science MState
Section I:
Last Name First Name Middle Name
Home Campus Student ID ID at Minor Institution (if known) Date of Birth (mm/dd/yyyy)
Home Campus Email Address Local Telephone Number
Section II:
My Home Campus Is (Circle One): Concordia College Minnesota State University Moorhead North Dakota State University
North Dakota State College of Science MState
I am seeking to earn a Tri-College Minor at (Circle One): Concordia College Minnesota State University Moorhead North Dakota State University
North Dakota State College of Science MState
Minor Title: __________________________________________________ Expected Date of Graduation: ______________________________________________
Course Prefix/Number Course Title Grade Credits
Section III:
The following signatures are required from the minor granting institution before submitting form to home campus.
Student’s Signature: _____________________________________________________________________________________ Date: ___________________________
Registration/Registrar’s Office of Instit. Awarding Minor: _____________________________________________________ Date: ___________________________
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