MA Spanish Registration Form (Spring and Fall Only)

This form is ONLY for mail or fax. Fill in, print, then mail or fax to: SSU Extended Education, 1801 E. Cotati Ave., Rohnert Park, CA. 94928





Semester for which you are registering
Sex

Birthdate: mm/dd/yyyy


Title of Course(s) you wish to enroll in:
  Course
 Dept & Course # 
 Class #
Units
 Fee
Practicum/Internship - Form 2 (SPAN 501 requires Form 2 contract to be submitted and signed.)
 SPAN 501   4156  4  $1560

Elective Course Approval - Form 1 (Each SPAN 595 selected below requires one Form 1 submittal. )
Please indicate topic for each SPAN 595 Special Study below (e.g.: "Topics in Linguistic Anthropology", etc.)

 Special Studies
 SPAN 595    1  $  390
 Special Studies  SPAN 595    2  $  780
 Special Studies  SPAN 595    3  $1170
 Special Studies  SPAN 595    4  $1560
 Special Studies
 SPAN 595    ( )  
 Special Studies
 SPAN 595    ( )
 
         Total:  


If yes, you must complete and sign an Authorization to Apply Financial Aid to Other Charges form and the Fee Voucher Promissory Note and return them both to the Registrar in Extended Education, Stevenson 1012.

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* Pick a date
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Mail to: School of Extended Education, Sonoma State University, 1801 E. Cotati Ave., Rohnert Park, CA 94928-3609.
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OFFICE USE ONLY:
 Verified by:
Cash Receipt#:
Check #
 Payee Name
 VISA/MC authorization #
 Total Paid $:
 By  Date