| Personal
Data |
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name: |
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name: |
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name: |
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address: |
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code: |
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| Course
Registration |
| Course
you are registering for: |
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#: |
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| This
is a course in the following Program: |
Certificate
Associate
Bachelor's Degree
Master's Degree
PhD/Doctorate
Continuing Education
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There is a one time
admissions fee of $50.00
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| I
have submitted the admissions fee payment: |
No
Yes |
| If
"No", I will submit the admissions
fee: |
by check or money order
by credit card |
| Cost
of the course I am registering for: |
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| I
am submitting payment for this course by: |
by check or money order
by credit card |
| I
have already completed an online enrollment
application: |
No
Yes |
Students who are
entering a Degree or Certificate program
must complete the online enrollment application
form: Click here
Click
here to pay online at our secure credit
card server
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| Additional
Comments: |
| To prevent automated submissions, please enter the letters in the image to the right. |
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