TO REGISTER
- Mail: Mail your registration to the Sustainability Office HMU 20A, Box 31, 1500 Birchmont Drive NE Bemidji, MN 56601
- In Person: Bring registration form to the Hobson Memorial Union Info Desk
- E-Mail: Copy the registration form into an e-mail and send it to the address at the bottom of the page.
WORKSHOP LOCATION
and TIME: location varies (see below), 6:30 to 8:30 p.m.
REGISTRATION DEADLINE:
one (1) week prior to workshop date. Registration after this date
is allowable; but, course materials are not guaranteed unless registered
one (1) week in advance.
UNIVERSITY POLICIES:
The University reserves the right to cancel any class not meeting minimum
registration requirements one week prior to starting date.
If this occurs you will be contacted. If Bemidji State University
closes due to inclement weather it will be announced on local radio
stations.
PLEASE COMPLETE ALL AREAS
Name (legal first, middle initial
and last name):________________________
Have you ever attended Bemidji State University (course or workshop)? ________Yes or No___ ___ __
Bemidji State University Tech ID # (if known): __________ Social Security # (optional): ____________ __
Many colleges / universities use social security numbers for student identification purposes on student records. Providing your social security number is voluntary. If you do not provide this number, your application will still be processed. This data is requested for purposes of administration, program evaluation & consumer & alumni data. Your number also may be used to create summary information about MnSCU programs through data matches with other state agencies.
Home Address (required):___________________
Home Phone #________________ Cell Phone #: ____________ Work Phone #: _______________
Email Address: (Home) ______________________ Email Address: (Work)_______________________
Employer: ______________________________
Employer’s Mailing Address:
______________________________
| COURSE
TITLE/NUMBER
(circle one) |
COURSE DATE | MEETING LOCATION | FEE | WITHDRAWAL/
CANCELLATION DATE |
CHECK (xx) |
| 104665
– CRI 752
Beginning Knitting |
1/21/10 |
Lower Hobson Union, Sustainability Office | $7 | 1/21/10 |
|
| 104666
– CRI 752 Games Night |
2/11/10 |
Lower Hobson Union, Sustainability Office | $7 | 2/11/10 | |
| 104667
– CRI 752
Plan Your Garden |
3/4/10 | Lower Hobson Union, Sustainability Office | $7 | 3/4/10 | |
| 104668
– CRI 752
Carding and Spinning |
4/22/10 | Lower Hobson Union, Sustainability Office | $7 | 4/22/10 |
FOR OFFICE USE ONLY: ISRS________ Confirmation sent________ Invoice sent________ Mailing list ________
