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ParttimeStudiesRegistration

Conestoga
 
Part-time Studies Registration Form - Day Courses
• Students not in a program wishing to register on a part-time basis in courses offered during the day and available to part-time studies are required to complete this form.
• Faculty's approval does not guarantee space or registration in the course. Registration is based on space availability in the course(s) and prerequisites (if applicable) being met.
• Registration begins the first week of classes. The completed approval form must be presented to the Records Officer for processing.
• The payment of fees by cheque or credit card is required at the time of registration.
 
Part A - Personal Information
 
Citizenship Status:
 
Have you been full-time student of Conestoga-College:

Student Number
         
Select Title   Last Name *   First Name *
   
         
         
Middle Initial   Phone *   Birthday Date *
   
Select a date from the calendar.
         
Apartment Number   Street Name and Number   City
   
         
Province or Country   Postal Code *   Email
   
 
 
Part B - Course Approval (Maximum of three courses.)
 
Campus:
         
         
Course Section   Course #   Semester
   
         
Course Title   Program Coordinator Approval  
   
         
Course Section   Course #   Semester
   
         
Course Title   Program Coordinator Approval  
   
         
Course Section   Course #   Semester
   
         
Course Title   Program Coordinator Approval  
   
         
Faculty's approval does not guarantee space or registration in the course.
Date    
Select a date from the calendar.
   
         
# of Courses Recommended   Program Coordinator's Signature  
   
         
Special Approval: If more than three courses are recommended, approval of the Program Chair is required.
         
Program Chair's Signature   Date  
 
Select a date from the calendar.
 
         
I certify that the above information is true and complete.     I understand that any false or incomplete information submitted in support of my application may invalidate my application.     I have read the Freedom of Information and Protection of Individuals Privacy statement.