International Campus Student Enrollment

Name of International Campus Sponsoring this Student Enrollment (required)

Your Administrative Email (required)

Name of Faculty Member Completing this Enrollment

Full Name of Student Enrolling (as to be displayed on diploma)

Complete Physical Address of Student Enrolling

Into Which Degree Study Program is The Student to be Enrolled?

Has the Student met all Prerequisite Requirements?
YesNo

Has the Student paid Tuition in Full?
YesNo

This application for enrollment of the above named student into the named course of study is by my consent as the Faculty Member.
Yes

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