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2010 New Student Registration On Line Form

First Name:
Last Name:
   
Address:
City:
State:

Zip:

   
Phone Number:
Date of Birth:
Major

1.  PLEASE CHECK ALL THAT APPLY:
  I do not plan to attend Linn State in the fall.  Please cancel my admission.
  I am unable to attend the New Student Registration date, but DO plan to attend
           Linn State in the fall.
  I will be attending one of the registration dates below.


2.  Select your registration date: (1=first choice; 5=last choice).
Students will be pre-registered based on the date this RSVP card is received. It does not matter which date you choose to attend, but rather how quickly you sign up for a registration date.

Wednesday, August 4

*NOTE: The following programs require students to attend a specific registration date. All Electrical Distribution Systems student must attend the May 19 event. All CAT Dealer Service Technician students must attend the June 9 event.


3.  CHECK ALL THAT APPLY
    I prefer to start my day of classes at:  8 a.m.    9 a.m.  10 a.m.
   
    Other, please list:

I will be commuting from home. 
I will be working while attending LSTC.
If yes, what time do you plan to start and end work each day? 
Start   End 


I have earned the following college or articulation credit:

Course Names College or Career Center through
which credit was earned
Note:  Official transcripts and/or Articulation Forms must be submitted.


If you do not attend your scheduled registration date, you will not be guaranteed a seat in your desired program.  Seats will be filled first by students who attend registration sessions.




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