REGISTRATION FORM/WORKSHEET
Slippery Rock University
Academic Records & Registration
Room 107, Old Main Phone: (724) 738-2010
TERM__________ YEAR__________
NOTE: Independent Study, Individualized Instruction & Internship(s) require a special form with written department approval
PRIOR to registration.
NAME
A0
Last
First
Middle/Maiden
Student ID
If you plan to graduate within the next four semesters, please apply to graduate on MySRU>>Academics Tab>>Graduation
portlet.
COURSE TITLE
CRN
Course
Reference
Number
DEPT.
COURSE
NO.
SECTION
NO.
S.R.U.
REPEAT
CHECK
P-NC
DAYS OF
WEEK
END
TIMES
SEM
HRS.
********************************************************************* TOTAL SEMESTER HOURS
STUDENT’S SIGNATURE
DATE
ADVISOR’S SIGNATURE
(not required for summer)
DATE
To register on-line, you will need your SRU Network User Name and Password.
03-16-2020