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Registration for National Writing Project at Carroll University

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INTERNATIONAL EDUCATION

Note: This registration form is only for Milwaukee Writing Project participants.


Registration for National Writing Project
*Last Name:
Middle Initial:
*First Name:
*Address Street:
*City:
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ZIP:
Home Phone:
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E-Mail:
Date of Birth:
Employer:
Ethnicity Information:
Are you Hispanic or Latino?	Yes No
Select one or more of the following:	American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander White
Course Registration:	EDU671 WW (3 crs) [description] EDU621 M1 (2 crs) - (one-half price tuition fee) [description] EDU621 M1 (3 crs) - (one-half price tuition fee) [description] EDU621 M2 (2 crs) - (Summer) [description]
Term of enrollment:
Year of enrollment:
Tuition:
With the submission of this registration, I understand that I am legally obligated to pay all tuition and fees. In the event of default, the college may refer my account to a credit reporting agency, a collection agency, and/or initiate legal action to recover any outstanding debt. I understand I am also responsible for the costs of collection including, without limitation, interest penalties, collection agency fees, court costs and attorney fees. In the event you will need to drop a course, refer to the Graduate Catalog for refund policy. I agree