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Registration for Summer Session Study

This registration form is for part-time non-degree summer school study only and is not an application for a degree program. Students who desire to enroll in a degree program must apply using the regular application form and process. No application fee is required to submit a part-time application. Current Messiah College students should not use this registration form, but should register for summer online courses via the Banner course registration system, as they do for regular academic year courses.

First Name:
Middle Name:
Last Name:
Street Address:
City:
State:
Zip Code:
Email Address:
Home Phone:	(include area code)
Alternate Phone:	(include area code)
This is my:	Work phone Cell phone
Date of Birth:
High School Attended:
Type of School:	Public Private Home
Year of Graduation:
Name of High School:
Colleges/universities attended:
Name:
Date(s) Attended:
# of Credits Earned:
Have you attended Messiah College in the past?	Yes No
If yes, when?
Do you plan to apply to Messiah College in a full-time degree program?	Yes No
If yes, what semester? (i.e. Fall 2009)
Have you ever been convicted of a felony or misdemeanor? Such a conviction will not necessarily disqualify you for enrollment. No Yes If yes, please submit a brief explanation.
What course(s) do you wish to register for in the summer session?
Course 1:
Course 2:
Total Credit Hours Chosen:
Provide a brief statement of your educational objectives and reason(s) for continuing your education.

How did you hear about Messiah Online?
	If "other", please specify:
By submitting this form, I certify that I am familiar with the standards and expectations for student conduct at Messiah College as summarized in the College catalog or expressed in the Community Covenant. If admitted as a student, I agree to abide by these guidelines. I also certify that the information I have provided in this application is complete and accurate.

Registration Type
Please click that you understand credits are $450 each :	Standard Student $450 per credit
** All courses are 3 credits unless specified with *2 in the list.

Messiah College does not discriminate on the basis of gender, race, color, age, disability, or national or ethnic origin in the administration of its educational policies, scholarship and loan programs, and athletics or other College-administered programs. Messiah College does reserve the right to revoke admission or readmission in the event of an applicant's misrepresentations in any phase of the application process.

How much do summer session courses cost? Are course material costs included?
Messiah summer online courses are an affordable option, discounted by 50 percent as the same courses offered during the academic year. The cost per summer credit hour is $450, or a total of $1,350 for a three credit course (subject to change). (There is no technology fee for summer online courses.) The cost of textbooks and other course materials is incurred separately.

Registration and Billing
Payment is expected when you register for a Summer Session course(s). Registration is completed when payment is received.

I choose to pay by:	Credit Card ($ ) I'd like to use my employee benefit