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Continuing Education Catalog Spring 2012 - The New School

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CeRtIFICate ReGIstRatIoN FoRM term: SPRING Year: <strong>2012</strong> Status Major NCt<br />

THE NEW SCHOOL TERM FIRST ATTENDED NEW SCHOOL<br />

STUDENT<br />

ID #<br />

LAST<br />

NAME<br />

STREET<br />

ADDRESS<br />

APT. OR<br />

c/o ETC.<br />

eNteR YoUR CoURses BeLoW. For courses that are part of your certificate program, indicate “CT” in the “GRADE OPTION” column.<br />

For courses that are not part of your certificate program, indicate either “NC” or the number of credits, depending on whether or not you are<br />

taking the course for credit.<br />

GRADE COURSE<br />

COURSE MASTER NUMBER SECTION OPTION INSTRUCTOR TITLE DAY TIME TUITION<br />

ADVISOR SIGNATURE:<br />

DATE:<br />

COMMENTS:<br />

N<br />

SEX<br />

BIRTH<br />

DATE<br />

FIRST<br />

NAME INIT.<br />

CITY STATE ZIP<br />

HOME<br />

– –<br />

PHONE WORK PHONE<br />

– –<br />

EXT.<br />

EMAIL<br />

MaJoR<br />

(CODE)<br />

➔<br />

Check enclosed Charge to MasterCard, Visa, Discover, or American Express<br />

No. Exp. Date<br />

Signature<br />

MAJOR MUST BE FILLED IN TO PROCESS REGISTRATION<br />

(FASH, FSHB, FINE, GRDS, INTD, or ACAD)<br />

CERTIFICATE PROGRAM:<br />

DATE<br />

Nonrefundable University<br />

Services Fee $80<br />

Special fees<br />

(lab, materials, etc.)<br />

Total enclosed<br />

REGISTRATION OFFICE USE<br />

REGISTERED<br />

DATE INIT.<br />

PERSONAL DATA ENTERED<br />

DATE INIT.<br />

BURSAR USE<br />

T # INIT.<br />

M<br />

T<br />

P<br />

F

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