Saint Martin's University - Non Degree Registration Form

Today's Date: (Ex: mm/dd/yyyy)
Do you plan to seek a degree from Saint Martin's University? Yes No (If yes, please contact the campus for which you are applying to apply, otherwise, continue to fill out the form) Lacey Extension Campuses Have you previously attended Saint Martin's University? Yes No If yes, when: (Ex: Summer 2006 or Never)
DEMOGRAPHICS INFORMATION:
Name: (First) (Middle) (Last)
Known by any other name:
Sex: Date of Birth: SSN: (Ex: mm/dd/yyyy) (Enter SSN with no hyphens)
Current Address: Street: City: State: Zip Code: Phone: Day: Evening:
Email:
Emergency Contact: Name: Relationship: Phone: (Ex: 3605551212)
Military Status:
DEMOGRAPHICS:
Marital Status: Ethnicity: Religion:
REGISTRATION: Semester: Year:
Campus: (Campus at which course is offered) Crs ID Title Sec Cr Days Start End Instructor
Campus: (Campus at which course is offered) Crs ID Title Sec Cr Days Start End Instructor
Campus: (Campus at which course is offered) Crs ID Title Sec Cr Days Start End Instructor