21.06.2019 Views

Fall 2019 Open University Schedule (Interactive)

DO YOU WANT TO TAKE UNIVERSITY CLASSES NOW? CSUDH Open University is an easy way for anyone to participate in regular university classes at California State University, Dominguez Hills. Registration is easy - formal admission at CSUDH is not required. Each class you take through Open University 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.

DO YOU WANT TO TAKE UNIVERSITY CLASSES NOW? CSUDH Open University is an easy way for anyone to participate in regular university classes at California State University, Dominguez Hills. Registration is easy - formal admission at CSUDH is not required. Each class you take through Open University 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 />

<strong>Open</strong> <strong>University</strong> 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 CSUDH previously? yes * no *<br />

male * female * Date last enrolled_________Term (e.g. <strong>Fall</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 CSUDH<br />

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 <strong>Fall</strong> Spr (circle one)<br />

Year____________<br />

Date____________<br />

Total Fees____________<br />

Entered by ____Initial______<br />

79

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