TERM REGISTRATION
ID
#
SS # :
NAME
Daytime Phone
CLASS
PROGRAM: UNDG GRAD
EXCL
STUDENT’S
SIGNATURE _____________________________________ DATE ___/___/___
ADVISOR’S
SIGNATURE _____________________________________ DATE ___/___/___
Please
print out the completed form, sign it and return it to:
Office of the Registrar
Huntington University
2303 College Avenue
Huntington, IN 46750
Fax (260) 359-4086
