ࡱ>  Ubjbj .~mZZ%%%%%).lPd ) ) ) ) ) ) )*- )i#$hl#$#$ )t)M(M(M(#$R )M(#$ )M(M("M(PB%3$4M(()0)M(..g$..M(..M( !M(J"t"e ) )+(" )#$#$#$#$.. Z c:  Juniata College Visiting Non-Degree Student Information/Registration Form Complete form electronically, print and submit to the Registrars Office. If mailing, the address is: Juniata College Office of the Registrar 1700 Moore St. Huntingdon, PA 16652 Please direct any questions to  HYPERLINK "mailto:rhodesc@juniata.edu" rhodesc@juniata.edu Name:  FORMTEXT      The following are optional:Permanent Address: FORMTEXT       FORMCHECKBOX  American Indian or Alaskan NativePhone ( FORMTEXT      )  FORMTEXT      -  FORMTEXT       FORMCHECKBOX  Asian or Pacific IslanderEmail address  FORMTEXT       FORMCHECKBOX  Black (Non-Hispanic)Date of Birth  FORMTEXT   / FORMTEXT   / FORMTEXT      FORMCHECKBOX  Hispanic (including Puerto Rican)Social Security Number  FORMTEXT    - FORMTEXT   - FORMTEXT      FORMCHECKBOX  White, Anglo, Caucasian (non-Hispanic)Sex: Male (  FORMCHECKBOX ) Female ( FORMCHECKBOX ) FORMCHECKBOX  Other  FORMTEXT      Campus Housing Required: yes FORMCHECKBOX  no  FORMCHECKBOX Citizenship:  FORMTEXT      Half Tuition Benefit: FORMDROPDOWN Religious Affiliation:  FORMTEXT       Is this the first time you have enrolled for classes at Juniata College? Yes  FORMCHECKBOX  No  FORMCHECKBOX  How many years have you been out of high school? ______ COURSE REGISTRATION FORM Check the box for the term for which you are registering: Fall  FORMCHECKBOX  Spring  FORMCHECKBOX  Summer  FORMCHECKBOX  Name:  FORMTEXT       Dept. Cat. No. Section Title Class Days Class Time Credits  FORMTEXT      FORMTEXT      FORMTEXT    FORMTEXT       FORMTEXT      FORMTEXT       FORMTEXT    FORMTEXT      FORMTEXT      FORMTEXT    FORMTEXT       FORMTEXT      FORMTEXT       FORMTEXT    FORMTEXT      FORMTEXT      FORMTEXT    FOR  T) * R S T g h r s } ~  H J n p    ߼ɴߧɗߎ߁ɗtjjhwCJUjMh6CJUjh6CJUh66CJ]jh6CJUmHnHujh6CJUh60JCJjh6CJUjh6CJU hf2CJ h.3CJ h6CJh6 h65\h{uh6CJ h'5\) TU i j k   H dh$Ifgd.3$a$H J yppp dh$Ifkd$$IflF o( bY0(6    4 lal  yppp dh$Ifkd$$IflF o( bY0(6    4 lal & ( * 2 4 6 : < P R T \ ^ d f z | ~    ʐzj`S`O`h6jh6CJUjh6CJUjh6B)CJUmHnHujgh6B)h6B)CJU h6B)CJjh6B)CJUjheA%CJUmHnHujheA%hCJU heA%CJjheA%CJU h6CJjhwCJUmHnHujhwCJUjheA%hwCJU hwCJ . 0 yppp dh$IfkdQ$$IflF o( bY0(6    4 lal  * , 0 2 N P R    * , . v x ҷ҄wjҷjh6CJUjh6CJUj h6CJUjhOy CJUmHnHujhOy hwCJU hOy CJjhOy CJUh6juh6CJU h6CJjh6CJUmHnHujh6CJUjh6CJU) v yppp dh$Ifkd$$IflF o( bY0(6    4 lalv x yppp dh$Ifkdm $$IflF o( bY0(6    4 lal 468"$ʠʓʏʠʂʠuʠhj h6CJUj h6CJUj h6CJUh6j} h6CJUjh6CJUj hOy hwCJUj hOy hwCJU h6CJjhOy CJUmHnHujhOy CJUj hOy hwCJU hOy CJ(^yppp dh$Ifkd $$IflF o( bY0(6    4 lal$&68LNPZ\^`(*,.XZvxz΄wjh65CJU\h65CJ\jCh6CJUj1h6CJUj h6CJUjh6CJUj!h6CJUh6jh6CJUmHnHuj h6CJU h6CJjh6CJU.^`,yppp dh$Ifkdq$$IflF o( bY0(6    4 lal,.|~yppp dh$Ifkd$$IflF o( bY0(6    4 lalPRl~ywowme__V|^|gdJP-^$a$gdf2$a$gdLTkd$$IflF o( bY0(6    4 lal P"$&8:VXZjln~zrzgr`ZPZjh6CJU h6CJ hf2hf2j=h Ujhf2Uhf2#jhf2h CJUaJ#jQhf2h CJUaJjhf2hf2CJUaJhf2hf2CJaJh6hLT5CJ\jh65CJU\h65CJ\jh65CJU\jgh65CJU\>jxz  $ҿvijsh6CJUjh6CJUjh65CJU\$jh65CJU\mHnHuj)h65CJU\h65CJ\jh65CJU\ hf2CJ h6CJjh6CJUmHnHujh6CJUjh6CJU%~x4\~ dh$If$If$^a$$&(0246JLNXZ\^rtvz|~Ҹүobjh6CJUjh65CJU\$jh65CJU\mHnHujEh65CJU\jh65CJU\h65CJ\jh6CJUj_h6CJU h6CJjh6CJUmHnHujh6CJUjh6CJU&~-''$IfkdK$$Ifl֞8Pt"%80(64 laP,.08:<>RTV`bdfz|~ࣖs$jh65CJU\mHnHujah65CJU\jh65CJU\h65CJ\jh6CJUj{h6CJUjh6CJUjh6CJU h6CJjh6CJUjh6CJUmHnHu)<d dh$If-''$Ifkdg$$Ifl֞8Pt"%80(64 laPJ JJJJJJ J4J6J8J@JBJDJFJZJ\J^JhJjJlJnJJJƼ}pcj "h6CJUj!h6CJUj!!h6CJUj h6CJUUjh6CJUmHnHuj5 h6CJU h6CJjh6CJUh65CJ\$jh65CJU\mHnHujh65CJU\jh65CJU\&JDJlJJ dh$IfMTEXT       FORMTEXT      FORMTEXT       FORMTEXT    FORMTEXT      FORMTEXT      FORMTEXT    FORMTEXT       FORMTEXT      FORMTEXT       FORMTEXT    FORMTEXT      FORMTEXT      FORMTEXT    FORMTEXT       FORMTEXT      FORMTEXT       FORMTEXT    FORMTEXT      FORMTEXT      FORMTEXT    FORMTEXT       FORMTEXT      FORMTEXT       FORMTEXT   Total Credits  FORMTEXT    List alternate courses below:  FORMTEXT      FORMTEXT      FORMTEXT    FORMTEXT       FORMTEXT      FORMTEXT       FORMTEXT    FORMTEXT      FORMTEXT      FORMTEXT    FORMTEXT       FORMTEXT      FORMTEXT       FORMTEXT    ___________________________________ ______________ High School Attending __________________________ Student Signature Date High School Students are required to have authorization from the guidance counselor or principal. 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A M P e q t      $ ) + 7 < > J M O [ a c o t v qXFFG FFFG FG FFFG FFFG G$G$G FG G FS FG G G$G$G FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF8@0(  B S  ?q"Text1Text2Check1Text9Text10Check2Check3Text7Text14Text15Check4Text6Text16Text17Check5Check6Text3Check11Check12Text4 Dropdown2Text5Check9Check10Check13Check14Check15Text12Text18Text19Text20Text21Text22Text23s1GSevLaG]6dbsf r  !.DWdu-\qWm,Fvqu r2%3%,?4%5%L6%,7%l8%T9%@:%>;%<%$=%D>%?% //7o k k s r     6>>w   r z z r   = *urn:schemas-microsoft-com:office:smarttags PlaceName= *urn:schemas-microsoft-com:office:smarttags PlaceType>*urn:schemas-microsoft-com:office:smarttags PersonName9*urn:schemas-microsoft-com:office:smarttagsplace     mr^x mr333 )hkr.1DFWSdeuv-/K\`qsAFW\F]cv;MN`aqr  01ACUVhiyz  $ % 8 9 I K ] ^ p q     , - @ A Q c mr)hr$#.3GLOy *0@|~eA%z%6B)JP-`.*2a&5>6rN\[|[_r{uw\yk{a6f2LTF\ ]'emo@dq@ JUnknownG* Times New Roman5Symbol3. * Arial5. *aTahomaA BCambria Math"hsF֦#8'F 'F !24dff2QHP?rN2!xx6This section to be completed by the Registrar's OfficemaceaccOh+'00 @L l x  8This section to be completed by the Registrar's Officevisitingstudentssformmaceacc56Microsoft Office Word@(л@20@"Ux@('F ՜.+,D՜.+,p, hp  Juniata Collegef 7This section to be completed by the Registrar's Office TitleHhp _PID_HLINKS_AdHocReviewCycleID_EmailSubject _AuthorEmail_AuthorEmailDisplayName_ReviewingToolsShownOnceApWmmailto:rhodesc@juniata.edut \Summer School Formsmaceacc@Juniata.Edu MacEachern, Christine (maceacc)  !"#$%&'()*+,-./0123456789:;<=>?ABCDEFGHIJKLMNOPQRSTUVWXYZ[\^_`abcdefghijklmnopqrstvwxyz{|~Root Entry F@ Data @81Table]..WordDocument.~SummaryInformation(uDocumentSummaryInformation8}CompObjy  F'Microsoft Office Word 97-2003 Document MSWordDocWord.Document.89q