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Course Registration
Internship Information
Intended Semester:*
Fall
Spring
Summer
Intended Year:*
Student Class Status:*
Degree Program:*
Completed Credits:*
Current Cumulative GPA:*
Courses
Course Title:
Course Number:
Credit Hours:
Days of the Week:
Time:
Location:
Add a 2nd course?
No Yes 
Course Title:
Course Number:
Credit Hours:
Days of the Week:
Time:
Location:
Add a 3rd course?
No Yes 
Course Title:
Course Number:
Credit Hours:
Days of the Week:
Time:
Location:
Add a 4th course?
No Yes 
Course Title:
Course Number:
Credit Hours:
Days of the Week:
Time:
Location:
Add a 5th course?
No Yes 
Course Title:
Course Number:
Credit Hours:
Days of the Week:
Time:
Location:
Student Information
E-Mail:*Valid e-mail is required
First Name:*
Last Name:*
Address Line 1:*
Address Line 2:
City:*
State:*
Zip Code:*
Gender:
Date of Birth*
Phone:*
Faculty Advisor
Faculty Advisor Name:*
Campus Address:*
Campus Phone:*
Email:*
Payment
Total Credit Hours:
  Cost per credit hour
Card Number:*No dashes or spaces please
Expiration Month:*From your card
Expiration Year:*From your card
Card Brand:*
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