1. Semester
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  4. Which type of registration?
  7. Registrant Information:
  8. (required)
  10. (valid email required)
  11. (required)
  12. (required)
  13. (required)
  14. (required)
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  16. Registration Information:
  17. Check course(s) desired:
  19. Cost:
    Per individual course - $595 (note: college credit requires additional fee)
    For groups of 4 or more, please contact us for a group discount.
    Optional: 3 Quarter College Credits for $158
    All prices above include course textbook.
  20. Method of Payment:
  1. For College Credit option only:
    Please print form to add SSN, sign & date BEFORE clicking Submit Button.
  7. Personal Information
  8. *You must PRINT this form and then add SSN, Signature and Date.
  12. Ethinicity
  14. By signing this form, you are certifying that you are the person who has completed the information furnished on all sections of this application. You are certifying that to the best of your knowledge, the information furnished is true and complete. You understand that if found to be otherwise, it is sufficient cause for delay of admission, loss of credit, rejection or dismissal.
  15. I understand that non-admitted students may take no more that 20 credits per quarter. I also understand that these include all credits taken at other institutions and that any credits taken in excess of these limits will be disallowed. These and other matters are covered in detail in the SPIRAL Bulletin, copies of which are available free of charge from the School of Education--Continuing Education office: 206/281-2274. I request registration for the courses indicated. I have read and agree to the above contractual statement, which outlines my responsibilities to the University.
  18. STUDENT RECORDS AND CONFIDENTIALITY: FERPA POLICY Family Education Rights and Privacy Act, 1974 (FERPA): Certain items of information about individual students are fundamental to the educational process and must be recorded. This recorded data concerning students is used only for clearly defined purposes and is safe¬guarded and controlled to avoid violations of personal privacy. SPU has the responsibility to effectively supervise any access to and/or release of official information about its students. In this regard, the University is committed to protecting the right of privacy of all indi¬viduals about whom it holds information, records and files. Access to such records is restricted to the student concerned, to parents of a dependent student, to others with the student’s written consent, to officials within the University, and to a court of competent legal jurisdiction. A complete copy of SPU’s FERPA state¬ment can be found on the SPU home page at www.spu.edu/depts/sas/ferpa.html or obtained by contacting the Office of Stu¬dent Life or Student Academic Services.
  1. Questions?
    Phone: 303.442.6789
    Fax: 303.442.6790
    Email: admin@successfulschools.org OR mlahman@successfulschools.org
  2. Please make checks payable to:
    Successful Schools, Inc.
  3. Mail to:Successful Schools, Inc.
    PO Box 21570
    Boulder, CO 80308

    Fax to: 303-442-6790
  4. You can pay by institutional or personal check, money order, or school purchase order.

    Your registration is not guaranteed until receipt of payment.

    Payment (or purchase order) must be received before entry into any of the online courses.

    REFUNDS of the registration fee, minus a $15.00 administrative charge, will be made provided the cancellation is received via writing or e-mail one week in advance of the course beginning.

 

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