School of Continuing Studies Registration Form

Student Information
CSP Student ID (optional):
First Name:
Last Name:
Address: This is new address
Phone: AM PM:
Company (optional):
Date of Birth:
Social Security #:
* Email Address:
Other Email Address (optional):
*Any communications from Concordia will be sent via e-mail

Please check all of the following that apply:
Please see the School of Continuing Studies website registration link for definitions. 
This is my first Continuing Studies course 
I am enrolled in a certificate program or the Associate of Arts degree.  Title of certificate 
I am enrolled or accepted in a online or cohort BA program   #   Major 
I am a traditional student:enrolled or accepted in a non-cohort or non-online BA degree program.
Academic advisors approval is required for traditional student to take SCS classes

Advisor name:
I am a visiting student (not enrolled at CSP as a degree seeking student) 
I am earning credits toward enrollment in a BA program.

Current students please note: changing your course load may affect your financial aid.
Please note: students should be registered for partnership training at least one week prior to class start date.

If the class does not show a ""CRN"" please leave that field blank.

CRN# (if known) Course Code Title Start Date Tuition/ class Type of credits* Credits
XXXXX EXA111 Class Title (Example) 1/12/2014 $350.00 UG 1

*Undergraduate (UG), Graduate (GR), Non-credit (NC)

Please check with your CSP financial counselor to insure you have funds to cover the class.

Total Tuition:
Indicate Payment Type:

Individuals seeking a non-credit training may contact the orgaizations directly.
After being registered for a partnership training class students must drop or withdraw from the course through the registrar.

Checks should be made payable to Concordia University and sent with the completed registration form to:
Concordia University,   Attn: School of Continuing Studies, 1282 Concordia Ave, St. Paul, MN 55104-5494
Once registered students will receive contact from the training partner or see the class on their Blackboard account if delivered throug Concordia, not the partner organization.

By submitting this form, I acknowledge that I have read and agree on the following terms:

Agreement Statements:

I am aware there are assignments and out-of-class learning requirments, and that I must attend class sessions and complete assignments to receive a grade.
I understand that I am responsible to contact my financial aid counselor regarding financial aid availiblity, if applicable.
I understand that I am responsible to communication with the training organization and grading instructor.
I understand that by registering for School of Continuing Studies courses I am entering into a legally binding contract to pay all tuition and fees associated with this course including all costs associated with the collection of my account. This includes interest charges, collection fees, attorney’s fees, and any other related fees where applicable. Additionally, if I indicated "online payment" on the registration form then payment will be made within 14 days.
I understand that I must submit a withdraw form to the Concordia registrar to drop/withdraw from a partnership training class or I will receive the grade earned and that there are no in-progress,incompletes or assignment extensions for these classes.