*For Office Use Only*

REGISTRATION FORM

Campus: _______________ Complete Orientation Online


Name (Last) (First) Student # /Visa Type

Address Employer

City State Zip Code Work Phone

Home Phone Cell Phone


CLASS SCHEDULE
AM/
PM/
OL

DAY
COURSE
CODE COURSE TITLE
R
E
P
E
A
T

C
L
A
S
S

C
R
E
D
I
T



TUITION FEES






Student Service Fees
TOTAL:

Tuition and fees for the above class schedule total ______________. Refer to the Student Calendar
for Drop and Add dates. Arrangements must be made with the Financial Aid and/or Business Office
for payment of this account. Registration forms will not be complete until approved by the Registrars
Office, Financial Aid and/or Business Office, and Program Chair. I give my consent to participate
in electronic transactions of financial information provided or made available to student loan borrowers,
and for all notices provided and authorizations to Federal Student Aid recipients.

Date


FOR OFFICE USE ONLY

Major: __________ Degree: __________ Grade Level: __________ Student Type: __________

ENRS ________ Admissions Coordinator______ Comments: ___________________
Registrar ____ Program Chair _______________________________
_______________________________
_______________________________
____________________________
Cash/Business Office Loans/Financial Aid


Revised 11/1/2013

FM
Queipo Angel 0322829
UG
WI14A OL MNA4200 Org. Behavior
4
2040 40
WI14B OL MNA4400 Human Resource Processes
4
2040 40
0
0
0
0
250
8
4080 330
MGT.OL BS 4 Corp
RE RE
JP
By checking this box you are digitally signing this document and
understand courses and fees are subject to Registrar and Program
Chair approval.
Term
If the box is checked, submit your Intent to Graduate Application in Web Advisor
Required for returning students, if checked
4410