___________ 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.
Student Signature: ________________________________________________ Date: ________________________
Advisor’s Signature: __________________________________________ Date: ______________________
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Processed on system: ____________________ Registrar: ___________________________ Date: _____________
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