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    Student Registration Form - Sample: (Institute Name)

    Uploaded by

    shweta verma
    This student registration form collects student information such as name, address, phone number, email, social security number, and emergency contact. It also requests course information including course name, number of credits, section, and instructor signature if registering without prerequisites. By signing, the student agrees to abide by institute policies and procedures and pay tuition, fees, and collection costs if applicable. The form is used by an institute to register students for courses.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Student Registration Form - Sample: (Institute Name)

    Uploaded by

    shweta verma
    178 views1 page
    This student registration form collects student information such as name, address, phone number, email, social security number, and emergency contact. It also requests course information including course name, number of credits, section, and instructor signature if registering without prerequisites. By signing, the student agrees to abide by institute policies and procedures and pay tuition, fees, and collection costs if applicable. The form is used by an institute to register students for courses.

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    Student Registration Form.docx

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    This student registration form collects student information such as name, address, phone number, email, social security number, and emergency contact. It also requests course information including course name, number of credits, section, and instructor signature if registering without prerequisites. By signing, the student agrees to abide by institute policies and procedures and pay tuition, fees, and collection costs if applicable. The form is used by an institute to register students for courses.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    178 views1 page

    Student Registration Form - Sample: (Institute Name)

    Uploaded by

    shweta verma
    This student registration form collects student information such as name, address, phone number, email, social security number, and emergency contact. It also requests course information including course name, number of credits, section, and instructor signature if registering without prerequisites. By signing, the student agrees to abide by institute policies and procedures and pay tuition, fees, and collection costs if applicable. The form is used by an institute to register students for courses.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
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    STUDENT REGISTRATION FORM -sample

    [INSTITUTE NAME]

    STUDENT INFORMATION: Complete the information below. Please print clearly.


    Name_________________________________________________________________ Student ID Number_________________________________________________

    Former Name (if applicable) _____________________________________________ Social Security Number _____________________________________________

    Permanent Address _______________________________________ Apt #_______ Phone (home) _____________________________________________________

    City/State/Zip__________________________________________________________ Phone (cell) _______________________________________________________

    County of Residence___________________________________________________ Email_____________________________________________________________

    Local Address (if different than above) ______________________________________________________ Emergency Contact Name_____________________________________________

    City/State/Zip__________________________________________________________ Emergency Contact Phone_____________________________________________


    Birth Date (Month/Day/Year): _____/_____ /_____
    Gender: r Male r Female Graduated from High School? r Yes r
    No

    Course Name/Number Credits Section Sub Type Audit Instructor Signature


    Instructor approves that the student may register for the course without the
    sample: ENGL 101 3 MO1 LEC N
    prerequisite.

    Student Agreement:
    I agree to abide by all College/campus policies and procedures.
    I agree to pay [INSERT INSTITUTE] for tuition and fees and any reasonable collection costs if applicable.

    Student Signature: ___________________________________________________________________________________________ Date: _______________ Advisor

    Signature: ____________________________________________________________________________________________Date: ______________

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