Graduate Registration Form

1. Course Number & Title:
2. Name: First: Last:
3. Address: Street:
City: State: Zip:
4. Phone: - -
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.
12. Grade(s) Level presently taught:
13. Job Title:
14. School District:
15. Building:

Costs:

Three-credit course is $1,473.00
One-credit course is $491.00

(Out-of-state residents higher)

Add $50 materials/facility fee for Visualizing Words and Worlds courses

PAWLP Fellows receive a $200 stipend to reduce tuition for one three-credit course each session.

Check here if you are a PAWLP Fellow
Institute Location and Year

Three Days/Three Modes/Five Traits Academy is $300 by June 22, $325 thereafter. Please see our website for discount and Act 48 hour information.

 
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