2015 CEPA Summer Institutes


Registration and course enrollment is NOT complete until payment is made in full. You will receive additional information (including account information) and instructions on how to make payment.

 

General Information:

Social Security Number
Mandatory disclosure of your social security number (SSN) is required for course registration. The University will use the SSN to verify identity only, and will not disclose or use it as a permanent student identifier, or any other reason.
 
First Name Middle Initial
Last Name Maiden Name
Street Address 1
Street Address 2
City    State    Zip Code
County
US Citizen?
If no, Country of Citizenship
Visa Type
Email Address
Home Phone Cell Phone
Date of Birth:       Gender
 

Education Background:

Please check the box that represents your educational background:
From what university or please explain:
 

Registration

PA Resident
Want Housing?
For Grad Credit?
Course # and Title Date
June 15-June 26, 2015
June 29-July 10, 2015
July 20-July 24, 2015