School of Continuing Studies Registration Form

Student Information
CSP Student ID (optional):
First Name:
Last Name:
Address: This is new address
City:
State:
Zip:
Phone: AM PM:
Company (optional):
Date of Birth:
Social Security #:
* Email Address:
Other Email Address (optional):
*All class registration communications, including confirmations and cancellations are sent via e-mail

Please check all of the following that apply:
Please see the School of Continuing Studies website www2.csp.edu/scs registration link for definitions. 
This is my first Continuing Studies course 
I am enrolling in classes to earn a certificate or 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.
Registrations can not be processed after 12PM(CST) three (3) business days prior to a class start date.
If you do not have a current Blackboard ID please allow 14 days for creation.

If you are registering for a "self-paced" class please enter tomorrow's date in the start date.

CRN# (if known) Course Code Title Start Date Tuition/ class Type of credits* Credits
XXXXX EXA111 Class Title (Example) 12/12/2012 $295.00 UG 1

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

A withdrawal form must be submitted to drop a class.

Total Tuition:
 		Indicate Payment Type:

Credit card registrations may be faxed to: 651-603-6270,    SCS Office telephone: 1-800-333-1180 or 651-603-6268,    email ce@csp.edu
Students withdrawing after 12PM ten (10) days prior to a class start date will be charged a 30% administration fee. Students dropping 21 hours prior to a one day intensive class or failing to attend will not receive tuition refunds. View policy details on the web site www2.csp.edu/scs : registration link.
Tuition is not refundable after 12PM the 7th day of an online or evening class.

Checks should be made payable to Concordia University and sent with the completed registration form to:
Concordia University,   Attn: School of Continuing Studies, 275 Syndicate Street North, St. Paul, MN 55104-5494
Receipt of registration will be verified with students via email within two days of arriving in the Continuing Studies office. Please contact the Continuing Studies Office if you need a map, directions, or have not received a confirmation or cancellation email notice 10 days before the class start date.
 
By submitting this form, I acknowledge that I have read and understand the Continuing Studies policies found on the Website at www2.csp.edu/scs and that I am responsible to maintain my schedule (email confirmations are a complimentary service) and I am responsible for payment of all collection of my account. This includes interest charges, collection fees of 33%, and attorney's fees.

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

Agreement Statements:

I have read the Technology Agreement and understand the technology required to support Blackboard coursework used in in-class and online classes, and I verify I have it. 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.
 I understand that the class registration, confirmation and cancellations are communicated via my Concordia email account or a valid email address that I check daily, as stated on the registration form.
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 have read the withdraw policy and I understand that I must submit a withdraw form to drop/withdraw from a class. I am aware that Continuing Studies online and in-class intensive courses are designed to be taken one at a time and there are no in-progress,incompletes or course extensions.