Registration
Please print and complete the entire form. One form per person, per course. Fees must be paid in full at
at the first class session or a $15 late fee will be assessed.

Name _______________________________________________
Address _____________________________________________
City ________________________________________________
State ____________________ Zip ______________________
Phone: Day (____)____________________________________
Evening (____)________________________________
E-mail _______________________________________
Is this the first Trinity course you have taken at Xenos?
Y/N
Have you taken a course for Trinity credit before?
Y/N

Course Level and Fees
Note: .
Course Title _________________________________________ (View Current Courses)
Course Number ________________________________________

Level: The three options are "Audit" (attend class only); "Xenos Credit" (take course, do
requirements, receive grade, however, no credit); "Trinity Credit" (receive college or graduate credit from
Trinity International University; may be applied toward a degree).

__ Audit
__ Xenos Credit (Complete assignments, take tests, and receive graded feedback from the instructor, but not for credit
through Trinity.)
__ Trinity Credit

Fee:

Semester hours for this course (Circle)
Multiply semester hours by $30 for Audit
Multiply by $40 for Xenos Credit
Multiply by $230 for Trinity Credit
If appropriate, add late fee (see top)

TOTAL FEE:

1 2 3 4
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Send registration and check made out to Xenos Christian Fellowship to the following address:

Xenos Christian Fellowship
Attention: Laurie Hamilton
1340 Community Park Drive
Columbus, OH 43229

Questions? Call Laurie Hamilton (614) 823-6510 x 184

For office use only: Student #:______ Amt. paid:______ GSA:______ Rec:______

Registration Information