Term*:
Name*:
Student ID*:
Address*:
City*:
Zip*:
Phone Number*:
Email*:
Program Attended*:
COURSE1*(check for the courses offered):
COURSE TITLE*:
INSTRUCTOR*:
DAY/TIME*:
UNITS*:
COURSE2*:
COURSE TITLE*:
INSTRUCTOR*:
DAY/TIME*:
UNITS*:
COURSE3*:
COURSE TITLE*:
INSTRUCTOR*:
DAY/TIME*:
UNITS*:
COURSE4:
COURSE TITLE:
INSTRUCTOR:
DAY/TIME:
UNITS:
COURSE5:
COURSE TITLE:
INSTRUCTOR:
DAY/TIME:
UNITS:

GENERAL INFORMATION:

Academic Course Fee: $295/unit

Registration Fee: $50/trimester

Late Fee: $50

Application Fee: $50

Student Assoc. Fee: $10/trimester