SPRING - UCSC Extension Silicon Valley
SPRING - UCSC Extension Silicon Valley
SPRING - UCSC Extension Silicon Valley
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✈<br />
enrollment form<br />
April–June 2012 Course Catalog<br />
Enroll Online: ucsc-extension.edu ENROLL by PHONE: (408) 861-3700<br />
Enroll by mail: <strong>UCSC</strong> <strong>Extension</strong> <strong>Silicon</strong> <strong>Valley</strong>, Attention: Registration, 2505 Augustine Drive, Suite 100, Santa Clara, CA 95054<br />
for credit/debit card payment only<br />
q Check here if you are a <strong>UCSC</strong> employee. Employee ID number_____________________________________________________<br />
Please Print<br />
Mr./Ms._________________________________________________________________________________________________Birthdate_______________________________<br />
Last Name First (given) Middle<br />
Social Daytime Home<br />
Security No.___________________________________________________________ Phone_______________________________Phone_________________________________<br />
(Provide if using tuition for tax credit.) Area Area<br />
Home<br />
Address______________________________________________________________________________________________________________________________________<br />
Street City State Zip Code<br />
Occupation______________________________________________________ E-mail Address__________________________________________________________________<br />
(May be used to announce special <strong>UCSC</strong> <strong>Extension</strong> programs.)<br />
Course Title Enrollment Code Start Date Fee<br />
All fees must be paid at the time of enrollment.<br />
TOTAL<br />
Charge to: q Visa q MasterCard q American Express q Discover<br />
Credit card billing address and zip code if different from student address:<br />
___________________________________________________________________________________________________________________________________________<br />
Street City State Zip Code<br />
Account Number__________________________________________________________________________________________ Expiration Date_______ CVC Code___________<br />
Authorizing Signature_______________________________________________________________________________________ q First-Time Enrollment<br />
For disability accommodations, call (408) 861-3700; TTY (408) 861-3821. Two weeks advance notice requested.<br />
maps and directions<br />
<strong>UCSC</strong> <strong>Extension</strong> <strong>Silicon</strong> <strong>Valley</strong><br />
Located in SANTA CLARA<br />
2505 Augustine Drive, Suite 100<br />
Santa Clara, CA 95054<br />
85<br />
104<br />
SANTA CLARA<br />
To<br />
Mt. View<br />
Lawrence Expy.<br />
237<br />
To<br />
San Jose<br />
Central Expy.<br />
To<br />
Milpitas<br />
101<br />
To Norman Y.<br />
Mineta San Jose<br />
International<br />
Airport<br />
Parkway<br />
Bowers Ave.<br />
Tasman Dr.<br />
Great America<br />
<strong>UCSC</strong><br />
<strong>Extension</strong><br />
<strong>Silicon</strong><br />
<strong>Valley</strong><br />
2505<br />
Augustine Dr.<br />
Scott Blvd.<br />
N<br />
San Tomas<br />
Expy.<br />
GOING SOUTH ON HIGHWAY 101: Take the Bowers<br />
Avenue exit and merge onto Bowers. Turn left at<br />
Augustine Drive. Proceed to 2505 Augustine Drive,<br />
and turn left into the parking lot.<br />
GOING NORTH ON HIGHWAY 101: Take the<br />
San Tomas Expressway exit and merge onto San Tomas<br />
heading west. Turn right on Scott Boulevard. Take<br />
the second right on Octavius Drive and then left<br />
on Augustine Drive. Turn right into the parking lot at<br />
2505 Augustine<br />
FROM MILPITAS: Start out on Highway 237 West.<br />
Take the Great America Parkway exit and turn left on<br />
Great America. After passing over Highway 101, take<br />
a left on Augustine Drive. Turn left into the parking lot<br />
at 2505 Augustine.<br />
FROM LOS GATOS: Start out on Highway 17 north<br />
towards San José. Take Exit 23 for Camden Avenue/<br />
San Tomas Expressway. From the off ramp, turn left on<br />
✈<br />
White Oaks Road and left again on Camden Avenue/<br />
San Tomas. After passing Central Expressway, take<br />
a left on Scott Boulevard. Take the second right on<br />
Octavius Drive and then left on Augustine Drive.<br />
Turn right into the parking lot at 2505 Augustine.<br />
Free parking available.<br />
South Bay Overview<br />
SOUTH BAY<br />
SAN<br />
MATEO<br />
PALO ALTO<br />
To<br />
San<br />
Francisco<br />
REDWOOD CITY<br />
SAN FRANCISCO<br />
BAY<br />
101<br />
MOUNTAIN VIEW<br />
280<br />
<strong>UCSC</strong><br />
<strong>Extension</strong><br />
SUNNYVALE<br />
SANTA CLARA<br />
85<br />
CUPERTINO<br />
92<br />
84<br />
HAYWARD<br />
To Oakland<br />
880<br />
237<br />
680<br />
87<br />
N<br />
FREMONT<br />
MILPITAS<br />
Norman Y.<br />
Mineta San José<br />
International<br />
Airport<br />
SAN JOSE<br />
101
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