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Registration Form
Extended Education- Off-Campus Credit Contracts
CSU Online (Division of Continuing Education)
Please print clearly.

Full Legal Name CSUID \ SSN

Last First Middle
Mailing Address

City State Zip

Home Phone Other Phone

eMail Birth Date Gender: Female Male

MM DD YY

Ethnicity (select one - optional) Class Level 51

Hispanic/Latino, Chicano, Cuban, Puerto Rican, Mexican American Undergraduate: 11 = Freshman (0-29 credits)
Not Hispanic/Latino 21 = Sophomore (30-59 credits)
31 = Junior (60-89 credits)
Race (select one or more as appropriate - optional) 41 = Senior (90+ credits)
44 = Post Bachelor
American Indian or Alaska Native
45 = 2nd Bachelor
Asian, Japanese, Chinese, Vietnamese, Korean or Filipino
Black or African American Graduate: 51 = Not admitted to Graduate School
Native Hawaiian or Other Pacific Islander 52 = Admitted to Graduate School in Master's Program
White, Anglo, Caucasian 61 = Admitted to Graduate School in Ph.D. Program

Have you previously enrolled in credit courses through Colorado State University? Yes No

To comply with Colorado state law, all males between the ages of 17 years 9 months and 26 years must answer the
following question: Are you registered with the selective service? Yes No Not Applicable

Course Information Spring 2017 EDUC 591A 9

Workshop: Daily Digital Images
Credits: 2 cr. Grading: Traditional
Tuition: Paid by North TIER Partnership Dates: February 13 - April 2, 2017

Cash
Check
This section not used
Payment Information

#
Credit Card #
American Express
Expiration Date
Discover Master Card VISA
/

In signing this form, I certify that the information listed above is correct. I have read and understand the drop and refund
policy of the Division of Continuing Education (applicable to courses offered through CSU Online).
I agree to fulfill my financial obligations to and abide by all policies of Colorado State University

Signature Date

Colorado State University Online copy

 Official Transcripts

Before ordering official transcripts, please check your unofficial transcript on RamWeb (http://ramweb.colostate.edu) to ensure a grade has been
recorded. You can create an account on the RAMrecords area to create an ID (right hand side).

*The first time you log in on RAMrecords you will need to click on the Create a RAMrecords User ID link to set up login information to
access your records. Electronic transcripts ordered online are usually available for their intended recepients within two hours of the order being
placed. Paper transcripts are mailed within one to two business days. You must pay by credit card to order online.

*If you do not have your Student ID number, please contact admin@northtier.org. This course will be recorded on a transcript which is
anticipated to be available about a month after the end of the course.

Transcripts may also be ordered by mail for a fee of $20.00. The Official Transcript Order Form may be mailed to: Registrars Office -
Transcripts, Colorado State University, 1063 Campus Delivery, Ft Collins CO 80523-1063. Transcripts ordered by mail are mailed out within one to
two business days. Payment may be made by check (made out to CSU), Visa, or MasterCard. We do not accept these orders by fax, email, or over
the phone.
Transcripts may be requested in person by the student and printed immediately in the Registrar's Office, Centennial Hall, or mailed out
within one to two business days. The charge for transcripts requested in person is $20. Payment may be made by cash, check, Visa or MasterCard.
Students requesting transcripts in person must present a photo ID for transcripts to be released.

Delivery Method Order Method Total Cost

Secure Electronic Online $11.00

Paper Transcripts:

First Class Mail (Domestic) Online $13.00

First Class Mail (International) Online $15.00
USPS Express Mail (use for PO Boxes) Online $31.30
UPS Second Day (Domestic) Online $33.00
UPS Next Day (Domestic) Online $38.00
UPS Worldwide Expedited Online $68.00
Student Pick-up* (Next Day) Online $15.00
Student Pick-up* (Same Day**) In Person $20.00
*Photo ID required at the time of pick-up at the CSU Registrar's Office.
**Transcripts may be requested in person by the student and printed immediately in the Registrar's Office. Centennial Hall.
Payment for transcripts requested in person may be made by cash, check, MasterCard, or Visa.
All financial accounts must be cleared before your transcript can be released. Transcript fees are non-refundable.
We do not accept faxed or emailed transcript requests. We will shred your faxed request to protect your privacy.

Visit the Registrar's Office website at http://www.registrar.colostate.edu/transcript-orders/ to learn more about ordering
official transcripts. (Please check to see if your state accepts electronic transcripts, paper transcripts or both.)

Drop and Refund Policy

The following policy applies to the course listed above only.
* Students dropping the course before the second class meeting will receive a full tuition refund.
* Students dropping the course after the second class meeting but before the first 1/2 of the class has been
completed, will be granted a drop, without a refund, and will receive a "W" on their transcript.
* After 1/2 of the class has been completed, no drops will be allowed, no refunds will be given, and a grade of "F"
will be recorded on the transcript if the course requirements are not fulfilled.
All drops must take place with the instructor. Credit card refunds require 10 business days; check refunds take six to
eight weeks. The effective drop date is the day on which the student formally notifies the instructor of his/her desire to
drop. If minimum enrollments are not met, the Division of Continuing Education reserves the right to cancel the
course. Full refunds are made to those students who are enrolled at the time a course is cancelled. Nonattendance
does not constitute drop.

Student copy. Please keep this copy for your records.