TO REGISTER

  1. Mail: Mail your registration  to the Sustainability Office HMU 20A, Box 31, 1500 Birchmont Drive NE Bemidji, MN 56601    
  2. In Person: Bring registration form to the Hobson Memorial Union Info Desk 
  3. 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: _____________________________________    Title: ______________________________________

    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 ________  

 

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