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PHOENIX ADULT UPGRADING

REGISTRATION FORM
Choose the Study block CRNs for each month of attendance as well as the
applicable course. Submit form to Student Enrolment Services on any
campus.

Students with accommodation needs are expected to contact Accessibility Services to make arrangements in advance of the
course start date. www.kpu.ca/access or access@kpu.ca or (604) 599-2001
Student Information
Name Student Number

Student Signature Date

English & Math Qualifying with Chris Sears at Phoenix


January February March April

Tuesday/Thursday, 0900-1150  24098  24099  24100  24101

Tuesday/Thursday, 1300-1550  24102  24103  24104  24105

Course CRNs

Instructor: To allow student to register after the first week of the Instructor Signature Date
month and before the 20th of the month, complete.

Instructor: To allow student to register without a placement test Instructor Signature Date
score, complete.

SES Office Use Only


Multipass is automatically assessed if the student is registered in 2 or more Study blocks CRNs, on campus, for a given month.
7-Nov-22

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