Center for Justice & Peacebuilding Spring 2019 Non-degree Registration
This form is to be used by persons wishing to take a spring 2019 CJP course for graduate credit or professional education (no academic credit) as a non-degree seeking student.
Have you ever taken a graduate course at Eastern Mennonite University (EMU)? *
Last Name *
Your answer
First Name *
Your answer
Middle Name
Your answer
Preferred First Name (how you wish for others to address you)
Your answer
Gender *
Please help us refer to you using the correct pronouns. Select which pronouns you prefer:
Birthdate *
MM
/
DD
/
YYYY
Marital Status
Are you Hispanic or Latino? *
Race *
(check one or more)
Required
Citizenship/Visa Status *
If you checked "dual citizen" or "citizen of another country", please list which country:
Your answer
Home Street Address
Your answer
City
Your answer
State/Province/Region
Your answer
Postal/Zip Code
Your answer
Country of Residence
(if outside of the United States)
Your answer
Preferred Phone Number (### - ### - ####, home/work/mobile)
Please provide the number at which you would prefer to be contacted and indicate whether this is your home, work, or mobile phone.
Your answer
Preferred Email Address *
Your answer
Educational History
Only needed if you plan to take the course for graduate credit. Optional if you are just auditing/taking it for training.
Highest degree earned
List here your post high school education history (institution, year graduated, GPA if known)
Your answer
Course Registration
Spring 2019 Courses *
See website for specific course information (credit hours and information regarding prerequisites): https://emu.edu/cjp/grad/course-schedule#spring. NOTE: Course tuition is $735 per credit hour (or $490 per participation audit credit hour)
Required
Please include a brief explanation as to why you are interested in this course(s) and any background you have that prepares you for taking this course. *
Your answer
Do you wish to take the course for Graduate Credit or Professional Education (no academic credit)? *
Please note any other questions here that you wish to have addressed regarding your registration. And if you are taking STAR I, please note if you wish to take it in January or February!
Your answer
I understand that taking a course for graduate credit with CJP is not the same as being admitted into the graduate program. *
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