files documents Access and Enrollment Registrar Registration Form
SAMPLE SCHEDULE REGISTRATION FORM http:// www.uvi.edu 1. The registration form must be COMPLETED PRIOR to entering the registration area, as it will be used to key your course request(s). New students must complete page two. 2. Please make sure the COURSE REFERENCE NUMBER (CRN #) has been entered correctly. Schedules must have a CRN# to be entered. 3. Changes in biographical data (name, address, telephone number) must be reported to the Registrar’s Office. □ Fall □ Spring □ Summer I □ Summer II Year: ___ Date: _________ Student ID#__________________ Level: □ Undergraduate □ Graduate Name: Last First M.I. …
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SAMPLE SCHEDULE REGISTRATION FORM http:// www.uvi.edu 1. The registration form must be COMPLETED PRIOR to entering the registration area, as it will be used to key your course request(s). New students must complete page two. 2. Please make sure the COURSE REFERENCE NUMBER (CRN #) has been entered correctly. Schedules must have a CRN# to be entered. 3. Changes in biographical data (name, address, telephone number) must be reported to the Registrar’s Office. □ Fall □ Spring □ Summer I □ Summer II Year: ___ Date: _________ Student ID#__________________ Level: □ Undergraduate □ Graduate Name: Last First M.I. Tel: (Cell) (Home) (Work) Mailing Address: ______________________________________________________ Email: Emergency Contact: _____________________ Last Name First Name Tel: (Cell)________________(Home) _________________ (Work) ____________________ CRN# SUBJ CRSE# SEC CRED DAY TIME AUDIT(Y/N) OFFICE USE CRN# SUBJ CRSE# SEC CRED DAY TIME AUDIT: (Y/N) Alternate Course Selection(s) 12345 MAT 231 A 4 MTWF 1:00-1:50 N Total Credits:___________ ____________________________________ _____________________________________ Advisor’s Signature Student’s Signature Office Use: PIP-Prerequisite in progress PNM-Prerequisite not met CTC-Course time conflict CLS-Closed class CRN-Wrong CRN WTL-Waitlisted CC-Cancelled class REGISTRATION FORM http:// www.uvi.edu Social Security Number #__________________ □ Fall □ Spring □ Summer I □ Summer II 20 ___ Campus: □STT □STX Level: □Undergraduate □Graduate Name: _ Last First Middle Maiden Physical Address: Local Mailing Address: Zip Zip Phone: Home ( _) - Work: ( ) - Ext. Sex: □Male □Female U.S. Citizen □Yes □No Date of Birth: Permanent Resident Alien Registration # Non Resident Alien: Type of Visa □F □J □H In compliance with federal reporting requirements, UVI must seek to identify the ethnic background of students enrolled. You are encouraged to supply this information. □ Black/Non-Hispanic □ Asian/Pacific Islander □ White/Non-Hispanic □ American Indian/Alaskan □ Hispanic □ Other Have you lived in the Virgin Islands for the past twelve (12) months? □ Yes □ No In what state/country is your permanent residence? _ _____ Year of last attendance at UVI __________________________________________________ I certify that the information given on this form is complete and correct. I acknowledge that deliberate omissions or falsifications may subject me to immediate dismissal from the University. Under the provisions of the Family Educational Rights and Privacy Act of 1974, as amended, you have the right to withhold the disclosure of any directory information. If you would like that your name not be listed in a directory please indicate: □ Yes □ No Student’s Signature Date