R E G I S T R A T I O N  F O R M
SUMMER SESSIONS 2002
 
You may fill out the form on-line, print it out to get the appropriate signatures and return it to: Registrar's Office, Valparaiso University,  Kretzmann Hall, Valparaiso, IN  46383
Phone: 219.464.5212      FAX: 219.464.5381   E-mail: registrar@valpo.edu

VU ID#: SS#: Male Female
Last Name: 
First Name: Middle/Maiden Name: 
Current Address:
City: State: Zip 
Day Phone: Evening Phone: E-mail Address: 
Summer Address:
City: State: Zip 
Day Phone: Evening Phone: E-mail Address: 
Permanent Address: 
City: State: Zip 
Day Phone: Evening Phone: E-mail Address: 

Current or Former VU Student
Undergraduate - Freshman Sophmore Junior Senior
College enrolled in: Arts & Sciences Business Engineering Nursing
Graduate - Degree-Seeking Non-Degree Seeking Professional Educator
I am not currently enrolled, but am in good standing at VU: Yes No
Last attended in: 
New Student
Undergraduate - Degree-Seeking Non-Degree Seeking
Freshman Sophmore Junior Senior
College enrolled in: Arts & Sciences Business Engineering Nursing
Have you been admitted to VU? Yes No
Graduate - Degree-Seeking Non-Degree Seeking Professional Educator
Have you been admitted to VU Graduate Division? Yes No
If yes, which program? 
Visiting Student
Name of home institution: 
"This student is in good academic standing and has my permission to take the requested courses at VU."
Required - Signature of Adviser:_____________________________________________________________________
Printed Name: Phone or E-mail Address: 
Course Choices
Session (I or II) Dept  Num. Sec. Title of Course  Credits Time  Req. Approval 

 

Alternate Course Choices
Session (I or II) Dept  Num. Sec. Title of Course  Credits Time  Req. Approval 
List the course selections.  Be sure to check the course prerequisites(available on the on-line catalog).  The maximum program is 7 session credit hours for both session A (six weeks) and B (four weeks). Signature of the instructor or department chair is required for all education, graduate psychology, and nursing courses.  VU students must have their adviser’s signature in order to register.  If it is not possible to see your adviser, do not delay in submitting the registration form.  Contact your adviser by voicemail or E-mail and then notify the Registrar’s Office.

Adviser's Signature:____________________________________________________________________________________  Date:__________________

Procedures for Dropping or Withdrawing from a Class:
Not attending class does not constitute withdrawal from the class.
1.  Complete and sign the appropriate drop or withdrawal card (available in the Registrar’s Office).
2.  Refund effective the date the withdrawal card is returned to the Registrar’s Office.
3.  During the Summer Sessions, notification of dropping or withdrawing from a class will also be accepted in writing either by fax at 219.464.5381 or e-mail at registrar@valpo.edu.  The information provided must include name, VU ID number or social security number, the name of the course, and the student’s signature (or user ID on e-mail).  Any refund will be effective on the date the notification is received in the Registrar’s Office.

Not so fine Print for all Students
I understand that payment is due in Finance Office one week prior to the start of classes.
I agree to pay all applicable fees that are assessed according to the rate announced in the current University publication along with the attorney fees, finance charges and other costs necessary to collect any amount not paid when due.  A finance charge of 1% per month will be added to the past due accounts of 30 days. This is an annual percentage rate of 12%.
If I do not wish to take or continue in a course, for whatever reason, it is my responsibility to withdraw from each course, either before or after it has begun.  In addition, I must complete the necessary paperwork and any refund will be calculated in accordance with the current rates shown in the University catalog and based on the date the withdrawal form is received in the Registrar’s Office.
I understand that not attending class does not constitute withdrawal.
I am familiar with and will abide by the Honor Code.
My signature indicates that I have read and understood the above.

Student’s Signature:__________________________________________________________________________________  Date:_______________________
Return completed form to: Registrar’s Office
Valparaiso University,  Kretzmann Hall, Valparaiso, IN  46383
Phone: 219.464.5212    FAX: 219.464.5381    E-mail: registrar@valpo.edu