Senior Auditing Program Course Registration Form

Spring 2012

Please fill in the information completely to assist us in completing your registration process.

* = Required Field

Student Information

Full Name: *

Date of Birth: *

(mm/dd/yyyy)

Country of Citizenship: *

Email Address: *

Street Address: *

Street Address 2:

City: *

State: *

Zip Code: *

Home Phone: *

Alternate Phone:

First Course Selection

Please fill out your FIRST course selection.

Department:

Example: PSCI

Course # and Section #:

Example: 281-001

Course Title:

Example: Intro to American Law

Instructor:

First Alternative Selection

Please fill out your FIRST ALTERNATIVE course selection.

Department:

Example: PSCI

Course # and Section #:

Example: 281-001

Course Title:

Example: Intro to American Law

Instructor:

Second Course Selection

Please fill out your SECOND course selection.

Department:

Example: PSCI

Course # and Section #:

Example: 281-001

Course Title:

Example: Intro to American Law

Instructor:

Second Alternative Selection

Please fill out your SECOND ALTERNATIVE course selection.

Department:

Example: PSCI

Course # and Section #:

Example: 281-001

Course Title:

Example: Intro to American Law

Instructor:

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Philadelphia, PA 19104-3335

Telephone: 215.898.7326
Fax: 215.573.2053
Email: lps@sas.upenn.edu
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Senior Auditing Program Course Registration Form

Spring 2012