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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:

phone
phone
Social Security Number (for internal purposes only):
Date of Birth:    
High School Attended:
Type of School:




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?



If yes, when?
Do you plan to apply to Messiah College in a full-time degree program?



If yes, what semester?

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:
   
Provide a brief statement of your educational objectives and reason(s) for continuing your education.
 
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.
 
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.
 
Registration and Billing

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

 

You may also drop your payment off at the Messiah College Business Office counter between 8:30 am and 4:00 pm Monday - Friday or send a check payable to "Messiah College" to the following address (Please be sure to include your name and Summer Session Registration in the memo field of the check):

 

Summer Session Registration

Messiah College
Business Office, Box 3011
One College Avenue
Grantham, PA 17027

   
I choose to pay by:

Check

Credit Card