CLAREMONT SCHOOL OF THEOLOGY

REGISTRATION - SUMMER 2005

Click here for a list of available summer courses and programs for 2005.

CST DEGREE STUDENTS: PLEASE USE A REGULAR REGISTRATION FORM.

ALL OTHER STUDENTS: PLEASE USE THIS FORM.

Classes with insufficient registration two weeks before start date may be cancelled. Your registration MUST be completed by the first day of class.

Please print this form, and mail or fax it to:

Office of the Registrar, Claremont School of Theology, 1325 N. College Ave., Claremont, CA 91711

Fax: 909-447-6242 or 909-447-6241.

Name ______________________________________________________________________

Address ____________________________________________________________________

___________________________________________________________________________

Phone (home) _________________________________ (work) _________________________

Email ______________________________________________________________________

Social Security No. ____________________________________________________________

Program: ___ Non-Degree ___ Certification ___ Audit ___ Continuing Education ___ AdvancedCOS

Denomination ________________________________________________________________

Conference, Region, Presbytery or Diocese ___________________________________________________________________________

COURSE REGISTRATION:

Course No. & Title ____________________________________________________________

Registration Option: CR AU CEU

Fee ______

Grade Option: ___ Letter Grade ___ Credit/ No Credit

HOUSING:

Housing is available on a first-come, first-served basis. Early registration for on-campus housing is essential.

Sex: F M Do you smoke? Y N

Date of Arrival ____________________ Time of Arrival ________________

Date of Departure _________________ Time of Departure ________________

Are you willing to share a room or apartment? Y N

Special Needs _______________________________________________________________

REGISTRATION FEES: (Make checks payable to CST.)

__________ $50 Non-degree application fee

__________ $50 tuition deposit (non-refundable, applied to all students’ tuition)

________ Total registration fees enclosed

For Credit Card Payments:

Visa or M/C No. _______________________________________________________________

Expiration Date _______________________________________________________________

SIGNATURE: Required for all registrations

Signature ____________________________________________________________________