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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:
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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
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