(Print and send this form to your preferred college or university to have registration information sent to you.)
ENROLLMENT INFORMATION will be sent to you when you complete this form and send it to the participating college or university of your choice. Just print this form (by clicking “Print” in your browser’s window), fill out the information below, and mail the form to the school where you want to take the course. Addresses for colleges and universities are listed on the individual pages for this semester’s participating colleges.
(Please note: Sending in this form does not automatically register you for any KET College Courses. You will need to register and pay tuition through a college or university offering the course you are interested in.)
| Name: |
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| Address: |
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| City: |
__________________________________________ |
| State: |
______ |
| Zip: |
__________________ |
| Phone/Home: |
(_______) ______________________ |
| Phone/Work: |
(_______) ______________________ |
Circle the courses for which you would like enrollment information:
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