Course Selection Form

This form requires a signature and cannot be transmitted electronically. 
Please complete the application, print, sign, and return to any campus admissions office. 

 

Course selection for semester

New Student         Returning Student         Senior Citizen

Tuition paid by

Student ID Number (Pin #)
or
Social Security Number

First Name        Middle Initial        Last name

Major Curriculum Code

Specialization

Sample Selection Codes

Class 4 Digit Code Dept Course # Section Campus Lab (L) Audit (X) Day/Time Credits
  AST 142 51 A     T/8:00-8:50 3

 

Please fill out course selections in the table below:

Class 4 Digit Code Dept Course # Section Campus Lab (L) Audit (X) Day/Time Credits
               
               
               
               
               
               
               
               
 

Total Credits

 

 

  Date:
Student Signature (sign above)

 

  Date:
Signature of Faculty Advisor for Returning Student (sign above)

 

  Date:
Signature of  Counselor for New Student (sign above)

Unpaid Registration Will Be Backed Out The Day Before Classes Begin

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