Summary: COURSE REGISTRATION FORM
Name:
First Middle Last
Student Number:
Employer:
Mailing Address:
City/Town Province Postal Code
Daytime Phone: Date of Birth (d/m/y):
Email:
Would you like to receive updates regarding B&PD courses/workshops/events? Yes No
Are you a University of Regina Alumnus?
Yes No
Are you enrolled (enrolling) in a
Certificate Program?
Professional Leadership
Professional Management
Project Management
Marketing and Sales
Is this the last course required for your
certificate? Yes No

Source: Argerami, Martin - Department of Mathematics and Statistics, University of Regina

Collections: Mathematics