Registration form for Spring Semester 2014
Registration form must be submitted and
deposit must be returned by January 2nd, 2014. All fees due by January 13th, 2014
All students must complete the form. Tutoring
assignments will not be made until form is completed.
Student email Address
Billing Name (Parent)
Father's Work Phone
Mother's Work Phone
Parents' e-mail Address
If SKILLS DEVELOPMENT tutoring is
required as a condition of your acceptance, it will be added to your tutoring
hours. If you are a continuing student or a new student who wishes to take
tutoring, please enter the desired number of hours of SKILLS DEVELOPMENT
tutoring in the box.
DEPOSIT REQUIRED WITH FORM
$200 WV resident
is a financial aid recipient.
is a client of vocational rehabilitation. Send copy of this form to VR
We will observe this request whenever