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1. Course Number & Title: |
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2. Name:
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First:
Last:
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3.
Home Phone: |
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4.
Work Phone: |
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5. Address: |
Street:
City:
State: Zip:
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6. Have you EVER taken a WCU
course? |
yes
no |
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7.
Gender: |
Male
Female |
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8.
WCU ID: |
If you do not know your ID #, or if this is your first WCU course, enter
0000000 ( 7 digits of 0)! |
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9.
Date of Birth: |
Month:
Day:
Year:
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10. Residence County:
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11. Citizenship Country:
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12. Cell Phone:
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13. Email Address:
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Please include a regularly accessed e-mail for purposes of confirmation and contact with instructors. |
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14. Grade(s) Level presently taught: |
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15. Job Title: |
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16. School District: |
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17. Building:
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Costs:
Three-credit course is $1,144
One-credit course is $410
Visualizing Words and Worlds participants pay an additional $50 for materials/artists fee
Out-of state residents pay higher tuition
Conference fee is $185 if paid by May 30, $235 thereafter
PAWLP Fellows pay $150 for the conference if registered and paid by May 30
Payment Methods
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18. Check or money order #: |
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19. Check amount. |
Your
phone number should be on your check or money order. Make check payable to West Chester University. |
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20. Credit card: |
The University accepts 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
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You must be registered for the course before you can pay on-line.
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For more information, call 610-436-2202
Visit the PAWLP Website http://www.pawlp.org
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