Course Registration Form
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Last Name First Name Student ID #
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Phone Number Email
Semester:
Winter 2020 Spring 2021
CRN #
Course Title
Credits
Days
Times
M T W TH F S O
M T W TH F S O
M T W TH F S O
M T W TH F S O
M T W TH F S O
M T W TH F S O
Total Number of Credits
Prerequisite met at:
School Name of College/University: ________________________
Please provide a copy of your unofficial transcript with this registration form.
Placement Test
SAT/AP Scores
Student Signature Date
** Please Note: You are not registered until you hear back from the Records Office **
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