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Concurrent Enrollment Student Information Form - Spring 2021
In addition to submitting your completed concurrent enrollment add cards via Extension, please fill out this form in its entirety. This will provide us with your contact information so that we can notify you with any updates regarding the CSE courses you are interested in taking for Spring 2021. Thank you!
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* Indicates required question
Email
*
Your email
Name (First name, Last name)
*
Your answer
UID
*
Your answer
Phone number
*
Your answer
I acknowledge that it is solely my responsibility to check and ensure that all components of the courses I am enrolling in DO NOT conflict with one another. Including, but not limited to, lecture, discussion, lab, midterm and final exam times.
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TRUE
I understand that the purpose of this form is to provide my personal information to the CSE Department so that they may contact me regarding Concurrent Enrollment. I understand that this is NOT a registration or enrollment form.
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TRUE
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