Program Registration Form - West Chester University

NEW STUDENT PROGRAMS
2012 January Orientation

First-Year Student
Orientation Registration Form

Step 1: Student Information

First Name Last Name

Address
City
State
Zip Code

WCU Student ID
Phone Number	- -
E-Mail Address
(Your confirmation e-mail will be sent to this e-mail address)

Please check if the above address is different from the address on your WCU application. If it is, you must contact the Office of Admissions at ugadmiss@wcupa.edu to update your address information.

Check one of the following:

	I will be residing on-campus in the spring of 2012
	I will be commuting to campus in the spring of 2012
	I will not attend West Chester University (You must contact the Office of Admissions at ugadmiss@wcupa.edu if you are not planning to attend West Chester University.)

Step 2: Parent Information (optional)

Please complete this section if you plan to attend the parent portion of Orientation on Wednesday, January 18.

(1) First Name Last Name

(2) First Name Last Name

Phone - - Additional Phone - -

E-Mail Address Additional E-mail Address (if applicable)

Step 3: Checklist

	Return your non-refundable $68.00 Orientation fee no later than Friday, January 13, 2012. (Payment instructions will be sent to the e-mail address you provided in the Student Information section of this form.)
	Follow the course scheduling instructions included in your admissions acceptance packet.
	Go online to complete the Parent Information Form.

Note:If there is anything you need to communicate to the Orientation staff regarding your registration, please do so in this notes section. Please direct all other questions to orientation@wcupa.edu.