___________ REGISTRATION FORM
Please complete all information (PLEASE PRINT)
Student Name: ____________________ ____________________ Student ID: ______________________
Last First
Day Time telephone #: Cell or Other __________________________________________________
Current Address: ________________________________________________________________________________
Email Address: _________________________ Program: _______________________________________________
Session:
Morning (9AM-1:00PM) Afternoon (Mon-Thur 1PM-6PM & Friday 1PM-10PM)
Evening (6PM-10:30PM) Weekend (9AM-6PM)
While referring to the course registration roster and your student progress report, please carefully indicate below
the course alpha-numeric prefix, section number, days of the week and meeting time, and credits for your course
selections.
Example: Course Code: CIS100 Section: M01 Day(s): MW Time From: 10AM Time To: 12PM Credits: 3
Please note that a student may NOT register for more than 18 credits in any semester without prior authorization by the
Vice President for Academic Affairs.
Do not register for any course for which all the prerequisites have not been met, i.e. neither successfully completed nor
currently in progress.
Course Code
Section
Day(s)
Time From
Time To
Credits
1
2
3
4
5
6
7
8
Total
Student Signature: ________________________________________________ Date: ________________________
Advisor’s Signature: __________________________________________ Date: ______________________
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Processed on system: ____________________ Registrar: ___________________________ Date: _____________
FALL 2020
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