Alumni Registration Form


THIS REGISTRATION FORM IS INTENDED FOR USE BY STUDENTS WHO ARE NOT CURRENTLY ENROLLED IN KUTZTOWN UNIVERSITY.

General Information:
 
Student ID (Optional)
First Name Middle Initial
Last Name Former Last Name (if applicable)
Street Address 1
Street Address 2
City    State    Zip Code
County
Email Address
Home Phone Cell Phone
Date of Birth:       Gender
PA Resident
Date of Graduation from Kutztown University   
 

Course Selection

   Semester – (Mon. Aug 29th – Sat. Dec 17th)
  Course Title Course Prefix Course Number Section Credits
Success Retirement Wealth ACC ALM 100 1010 1
Intro Bagpipes & Physics of Song ALM 100 4010 1
Art and Science ALM 100 5310 1