Fillable REGISTRATION FORM Wesley College Language Development Center (Wesley College)

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REGISTRATION FORM Wesley College Language Development Center (Wesley College)

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The REGISTRATION FORM Wesley College Language Development Center (Wesley College) form is 1 page long and contains:

  • 1 signature
  • 3 check-boxes
  • 38 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Wesley College

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Wesley College Language Development Center
REGISTRATION FORM
Today’s Date: [Date]
Student ID Number (for Staff only)
STUDENT INFORMATION
[Last Name]
[First Name]
Social Security #
Staff member? (Y/N)
Email Address:
Birth
Date:
Gender
City
State
Zip
Country
Home phone number:
Cell phone number:
How did you find out about us?
Do you now or have you ever had family members who attended Wesley College? (Circle One) Yes No
REGISTRATION INFORMATION
WESLEY COLLEGE LANGUAGE DEVELOPMENT CENTER COURSE(S) YOU WILL BE TAKING THIS SEMESTER
Course Name
Number
Section
Hours
Fees
1
2
Students are responsible for all tuition costs, refund policy costs, collection agency fees, attorney fees, court costs, and other costs
necessary for the collection of amounts not paid by the due date. This signature serves as my agreement to Wesley College’s
registration and financial policies.
Registration Fee:
Lab/Art Fees:
Other Fees:
TOTAL CHARGES→
STUDENT SIGNATURE
I certify that the above information is truthful and accurate to the best of my knowledge.
__________________________________________________________________________________________________________
Student Signature Date
OFFICE USE ONLY
Amount Received
Received by
Date
□ Cash □ Check □ Charge Card #
Note: In admitting students, Wesley College complies with the civil rights act of 1964 and does not discriminate on the basis of race, religion, sex or national origin
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REGISTRATION FORM Wesley College Language Development Center (Wesley College)

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Completed 24 July 2020

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