Student Information
Name
Address
Please enter in the following format (# # #) # # # - # # # #
Course Selection
Please enter the information of the course(s) for which you would like to register. You may enter a maximum of three courses.

Course Schedule
 
Course Number and Title
(i.e. ET-640: Introduction to Islamic Law)
1. Submitting this form constitutes my formal enrollment in the listed course(s).

2. I must notify the Certificate Program Office of any withdrawals/course changes.

3. No refunds will be given after the second class session.
5 + 0 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.

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