Extended Education Registration Form (mail or fax only)

DO NOT EMAIL THIS FORM - IT WILL NOT BE ACCEPTED OR PROCESSED.

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

 

Use of Social Security Number:
Sonoma State University uses the social security number as the identifier for student records maintained in your association with the campus and, if needed, to help collect debts owed the university. Applicants are required to include their social security number in designated places on applications for admission pursuant to authority contained in Title 5, California Code of Regulations, Section 41201.
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 Course Title
 Dept/Num (e.g. BUS 800)
Class # (0000) Units
 Fee


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Print this form, then sign in "signature for credit card" box. If faxing, you may fax the printed form. Fax number: (707) 664-2613. If mailing, without using credit card, please attach check or money order to this printed form, and mail to:
SSU Extended Education 1801 E. Cotati Ave. Rohnert Park, CA. 94928.