The University of San Diego
Division of Continuing Education

  University of San Diego Seal

Study Course Registration Form

 

Please fill out your information then print this form and bring it with you to the Office of Continuing Education to complete the registration process.

 Complete The Entire Form (all fields are required)
All Classes Have Been Approved for Semester Units of Graduate Level Extension Credit

Participant's Information

Full Name:

Mailing Address: 

Zip/Postal

Social Security Number:

E-mail address:

Re-type e-mail address:

Class Information

Instructor(s):

Class contact for grade
(if other than instructor):

Full Class Title:

Location of class (city,country):

Class Date(s):

Class Number:

EDU

Fees (select the correct fee
amount based on the number
of units for your class)

1 semester unit of credit - $55
2 semester units of credit - $110
3 semester units of credit - $165

Payment Information

Select one of the following:

19
 
Visa Mastercard Discover Card American Express
Paid by agency (if selected, skip to Other USD Information)

 

 

 

 

Credit Card Number:

Expiration Date:

Name exactly as it appears
on credit card:

Other USD Information

 

Have you taken classes previously from USD?

Yes  No   If yes, when?

Are you currently enrolled in another USD class? 

Yes  No

 

"Thank You!"

DATES FOR COURSE COMPLETION INDICATED ON TRANSCRIPTS WILL BE THE ACTUAL DATE THAT GRADES ARE RECEIVED FOR THE CLASS.

An official transcript will be sent to your mailing address upon receipt of final grades at no charge.  Additional transcript requests must be in writing (per Buckley Amendment) and must be accompanied by $5.00 for each transcript requested, payable to University of San Diego.  NO PHONE REQUESTS WILL BE ACCEPTED.

MAIL TRANSCRIPT REQUEST TO:
TRANSCRIPTS, CONTINUING EDUCATION, UNIVERSITY OF SAN DIEGO, 5998 ALCALA PARK, SAN DIEGO, CA  92110-2492 USA

The University of San Diego Continuing Education Programs do not discriminate on the basis of race, color, religion, sex, national origin, age, disability, or sexual orientation in the admission or status of participants.