04.03.2019 Views

CSUDH Summer Sessions 2019 Bulletin (Interactive)

CSUDH Summer Session is an easy way for anyone to participate in regular university classes at CSU Dominguez Hills. Registration is easy... formal admission to CSUDH is not required. Simply call 310-243-3741. Each class you take through Summer Sessions at CSUDH may apply toward your future degree while you enhance your professional skills and explore your personal interests. High School students who will have completed their junior year by June may register with the written support of their principal or counselor accompanying their registration form and fees.

CSUDH Summer Session is an easy way for anyone to participate in regular university classes at CSU Dominguez Hills. Registration is easy... formal admission to CSUDH is not required. Simply call 310-243-3741.

Each class you take through Summer Sessions at CSUDH may apply toward your future degree while you enhance your professional skills and explore your personal interests. High School students who will have completed their junior year by June may register with the written support of their principal or counselor accompanying their registration form and fees.

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CALIFORNIA STATE UNIVERSITY, DOMINGUEZ HILLS<br />

SUMMER SESSIONS REGISTRATION FORM<br />

Date of Application_____________________Student ID:_______________________Birth date:___________________________<br />

month / day / year<br />

Name:________________________________________________________________________________________________<br />

Last First M.I.<br />

Address:_______________________________________________________________________________________________<br />

Street City State Zip<br />

Telephone:_____________________________________________________________________________________________<br />

Daytime Evening Fax Cell<br />

New Address? yes * no * Enrolled at <strong>CSUDH</strong> previously? yes * no *<br />

male * female * Date last enrolled_________Term (e.g. <strong>Summer</strong> '19)<br />

Employer:_____________________________________________________________________________________________<br />

Company Name<br />

Email<br />

COURSE INFORMATION<br />

Course No. DEPT/SECTION COURSE TITLE UNITS INSTRUCTOR SIGNATURE FEE<br />

PAYMENT METHOD<br />

Total Fee Submitted $_________________<br />

* Check/Money Order, made payable to <strong>CSUDH</strong> EXTENSION.<br />

I AUTHORIZE THE USE OF MY: VISA * MASTERCARD * DISCOVER *<br />

_____________________________________ _______________________________<br />

ACCOUNT NUMBER EXP DATE SIGNATURE<br />

REFUND POLICY<br />

Refunds are not automatic; you must file appropriate forms in the Extended Education Office in<br />

order to receive a refund. Refunds take a minimum of six to eight weeks for processing. Refunds<br />

are granted in accordance with the State refund schedule. If a course is cancelled, the entire<br />

fee will be refunded. If you withdraw after the first class and before 25 percent of the course<br />

has elapsed, 65 percent of the total fee will be refunded. After 25 percent of the course time<br />

has elapsed, no refund will be made; however a drop form must still be filed. Stop payments on<br />

checks are NOT an acceptable withdrawal from the course(s) and will result in a financial penalty.<br />

For more information call the College of Extended & International Education: (310) 243-3741.<br />

OFFICE USE ONLY<br />

SEMESTER:<br />

Sum Fall Spr (circle one)<br />

Year____________<br />

Date____________<br />

Total Fees____________<br />

Entered by ____Initial______<br />

25

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