High School Enrollment Form - University of Alaska Fairbanks

HIGH SCHOOL ENROLLMENT FORM
RECEIVED
Oce use only
OFFICE OF ADMISSIONS & THE REGISTRAR l PO BOX 757480, FAIRBANKS, AK 99775-7480 TEL: l 907-474-7500 / 800-478-1823 l FAX: 907-474-7097
Page of
SID label
oce use only
Barcode label
Oce use only
P
NAME: UA ID (or SSN):
(Last) (First) (M I)
SEMESTER OF ENROLLMENT: Year 20_____ Fall Spring Summer Date of Birth (MM/DD/YYYY):
CURRENT MAILING ADDRESS: Day Phone:
Evening Phone:
Email Address:
(City) (State) (Zip)
Residency
1
: Students seeking Alaskan residency or a waiver of non-resident surcharge must complete an “Applicaon for Resident
Tuion” or “Waiver of Non-Resident Surcharge” and provide required documentaon to the Oce of Admissions before the published
rst day of instrucon (UA Board of Regents RegulaonR05.10.05). See reverse side for informaon.
DEMOGRAPHIC INFORMATION: See reverse side for informaon and codes.
Sex: Male Female Ethnicity
2
: Vet/Military Status
3
:
For instrucons on withholding directory informaon, please see FERPA on reverse side
4
.
US Cizen? Yes No If no, Naon of birth: Naon of cizenship:
Visa Type: Permanent Resident? Yes No
PRIOR EDUCATION INFORMATION:
Name of high school you are aending: Locaon (city/state):
Expected graduaon date? (MM/DD/YYYY):
COURSE INFORMATION (Complete all informaon requested below. Refer to the Class Schedule for course informaon)
CRN Dept. Course
Number
Secon Course Title # of
Credits
Yes”
if
Audit
Instructor Signature required
(permissions rec’d thru UAF e-mail account
from instructor or dept head is acceptable)
I understand I, or my parent, are responsible for all applicable UAF academic regulaons, tuion and fees whether or not I successfully complete
the course or courses in which I am enrolling
5
. The university will not iniate a drop for non-payment
5
.
Students Signature: Date:
Parents Signature: Date:
OFFICE OF ADMISSIONS AND THE REGISTRAR ONLY:
Processed By: Date:
To enroll at UAF while sll a high school student, you must
l Complete this form.
l Meet prerequisites of the course or courses in which you
want to enroll.
l Get permission from the instructor or the department
head.
l Submit the completed form to the Oce of Admissions
and the Registrar during the regular registraon period
l Pay tuion and fees by the last day of fee payment in the
semester you are enrolled. NOTE: Permission to enroll in
a course must be obtained each me you register.
l If you want to use university credit to meet high school
requirements, contact your high school counselor before
you enroll at UAF.
l Students may choose not to release their directory
informaon by compleng a “request to withhold or
release directory informaon” form, available at the
Oce of Admissions and the Registrar.*
11/11 M:\Forms\Working Folder\Forms 2010
Term ____________
Page 1/2
Free Download

High School Enrollment Form - University of Alaska Fairbanks PDF

Favor this template? Just fancy it by voting!
  •  
  •  
  •  
  •  
  •  
(0 Votes)
0.0
Related Forms
  •  
  •  
  •  
  •  
  •  
2 Page(s) | 1154 Views | 13 Downloads
  •  
  •  
  •  
  •  
  •  
14 Page(s) | 3333 Views | 7 Downloads
  •  
  •  
  •  
  •  
  •  
8 Page(s) | 5154 Views | 110 Downloads
  •  
  •  
  •  
  •  
  •  
2 Page(s) | 2413 Views | 55 Downloads
  •  
  •  
  •  
  •  
  •  
2 Page(s) | 3592 Views | 164 Downloads