Spring 2014 Registration Form

Please register at least two weeks before course start date

1. Course Number & Title:
2. Name: First: Last:
3. Phone: - -
4. Address: Street:
City: State: Zip:
5. Have you EVER taken a WCU course? Yes No
6. Gender: Male Female
7. WCU ID:
If you do not know your ID #, or if this is your first WCU course, enter 0000000
8. Date of Birth: Month: Day:   Year:
9. Residence County:
10. Citizenship Country:
11. Email Address:
Please include a regularly accessed e-mail for purposes of confirmation and contact with instructors.

Do you want to receive the PAWLP electronic Newsletter at this e-mail address? Yes No
12. Grade(s) Level presently taught:
13. Job Title:
14. School District:
15. Building:

Costs:
Tuition and fees for on-campus courses: $1,644.72
Tuition and fees for off-campus courses: $1,533.60
(Out-of-state residents higher)

Payment Methods
16. Check or money order #:  
17. Check amount:
Your phone number should be on your check or money order. Make check payable to West Chester University.

18. Credit card: The University accepts VISA, Mastercard, Discover, and American Express. Credit card payments must be made on-line at myWCU and are subject to a 2.75% fee.
Please check here if you will pay on-line by credit card.
You must be registered for the course before you can pay on-line.
 
For more information, call 610-436-2202
Visit the PAWLP Website http://www.pawlp.org