University of Northern Iowa
Registration Form
SEMESTER (SUMMER/FALL/SPRING) ____________________

_________________________________________
NAME (Last, First, Middle/Maiden)

_______________________________________________
Student # or Social Security #

CLASS SCHEDULE:
Identify the courses which need special attention in the "SPEC" column with the following abbreviations: Rep = Repeat; Aud = Audit; and Ung = Ungraded. Prior to registering, students must ensure that holds have been removed and necessary course approvals entered by appropriate offices.

SPEC	DEPT NO	COURSE NO	SEC NO	HOURS CRDT	TIME HOUR DAYS	COURSE TITLE	INSTRUCTOR	DEPT USE ONLY APPROVED








Total Hours _____					Approved ___________________________ Advisor's signature

Student's Signature __________________________	Today's Date _______________________
1. Will you be receiving veterans benefits? Yes ___ No ___	2. Anticipated Graduation Month _______ Year_______
3. Marital Status Married ____ Married with children ____ Single _____ Single with children _____	4. Have you lived outside the state of Iowa for more than a year since you were last enrolled? Yes ____ No ____

THIS FORM CAN BE USED FOR REGISTERING BY MAIL (LIMIT 1 OR 2 CLASSES).
If registering by mail, please complete the information below and mail it to:
       Scheduling Office
       243 Gilchrist Hall
       Cedar Falls, IA 50614-0006

IN-SESSION SCHOOL ADDRESS (This will be used for mailing while the University is in session)


Street Address	City	State	Zip	Telephone

INTERIM ADDRESS (used when mailing your grade reports, student bills, and other mailings between sessions)


Street Address	City	State	Zip	Telephone