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
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
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
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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