Essay/project registration form

graduate liberal studies Program
284 High Street
Middletown, CT  06457
Phone (860) 685-2900
Fax (860) 685-2901
 

Spring 2008  Summer 2008  Fall 2008
Student Information
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WesID# Name: first, middle, last      
Home address City State   ZIP
Home phone   Work phone   Preferred email    
registration

 Final Essay/Project Course
          When to register for Final Essay/Project Course:
          submit this form with your official proposal
 
Tuition:
Registration Fee:
$3,240
$   100

 
* Students must complete the final essay/project within a maximum of 3 years (9 terms) from completion of the final course, or within 6 years (18 terms) of their first GLSP course (8 years by petition), whichever comes first.
agreement
I understand that I will be billed the registration fee every term until the archival copy of my essay or project is submitted and accepted.  I have read, understand, and agree to abide by the policies outlined in the GLSP Student Handbook, including Wesleyan's Honor Code and the Code of Non-Academic Conduct Regulations, and I understand and accept my obligations as outlined in the code and I will uphold Wesleyan's standards.
Student signature: _______________________________________ Date: _________________

Payment

Amount to charge: $__________             Visa      MasterCard     Check payable to Wesleyan University  

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 _________________________________
Charge Card Number Exp Date Student Signature
Office Use Only
Term 27th unit of
credit completed: ___________		 Term of essay project
registration: ________		 3 year window: _______ 6 year window: _________
       
  Date: ______________ Recorded by: _________ Term activated
       
Account#: __________  Batch#: __________  Date: __________