Summer 2014 Course Registration Form

In order to register for classes at Penn State Erie, The Behrend College for the Summer 2014 session, complete and submit this registration form. Please complete this form in its entirety. Upon receipt of the registration form, you will be contacted by the College Registrar to confirm the scheduling of classes. Course offerings for Summer 2014 are listed in the schedule of classes. (A new window will open.)

The College reserves the right to cancel or postpone any class or activity because of insufficient enrollment or unforeseen circumstances. The College also reserves the right to change the meeting time of a course for any reason.

Note: if you are a current Penn State student, please utilize eLion to schedule your classes. If you have been admitted as a degree candidate commencing summer 2014, please visit the Academic and Career Planning Center for registration instructions.

Graduate Credit:  If interested in graduate courses, contact the Graduate Admissions Office at 814-898-7255.

*Required fields are indicated by an asterisk.

General Info
Name: *First    *MI  *Last 
Address: *Street  *City    *State    *Zip Code 
Phone: * -   *E-mail    
Gender: Male       Female   Date of Birth (mm/dd/yyyy)

Course Selection(s)
If scheduling more than one course, all fields must be completed for each course.
  Schedule Number Course
Course Number Section
Class 1
Class 2
Class 3
Class 4

Student Status
Have you ever taken course (s) at Penn State Behrend or any Penn State location? Yes No  
Last semester attended Penn State: Fall Spring Summer    Year
Have you ever been dismissed or suspended for academic reasons from any college --- incl. Penn State? Yes No  
Have you ever been dismissed or suspended for non-academic reasons from any college --- incl. Penn State? Yes No  

Educational Background
High School graduate or GED Equivalency
Non High School graduate
Currently in High School
Some College
  Number of credits:     Institution:
Bachelors Degree
  Degree earned:         Year:      

I am a legal resident of Pennsylvania. Yes No  
I am a U.S. citizen. Yes No  
     If no, which statement best describes your citizenship status?      
          I am an immigrant (permanent resident) residing in PA. Yes No  
          I am an immigrant (permanent resident) residing in another U.S.
          state or territory.
Yes No  
          I have a non-immigrant visa. Yes No Specific type:

Ethnic Background (optional - used for federal and state statistical reporting)
American Indian
Alaskan Native
African/Black American (not of Latino/Hispanic origin)
Asian and Pacific American
Latino/Hispanic American (not Puerto Rican)
Puerto Rican
White American (not of Latino/Hispanic origin)
Other (in U.S. on student or temporary visa)



Penn State Erie, The Behrend College • 4701 College Drive, Erie, PA 16563 • 814-898-6000 • Toll-free: 866-374-3378
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