International Graduate Course Off-Campus Registration

International Graduate Programs for Educators Course Registration

1. Complete this Graduate Course Registration form. (Make a copy of this form for your own records).

2. If you have not been formally accepted into the Multidisciplinary Master’s Degree program or as a Non-Degree seeking student, please go to the following link to complete an online application: http://graduateschool.buffalostate.edu/apply

3. Return your completed registration form to our Registration Coordinator, Catherine Beecroft ([email protected]). Registrations will be processed after acceptance. The registration form will not be processed until you are accepted as a SUNY Buffalo State Graduate Student.

4. Payment of $390 must made to our office for this three credit course. We can accept payment via check, money order, or wire transfer. Please make checks payable to SUNY Buffalo State, and contact Brandon Kawa for wire transfer information at [email protected]. Items#1-4 must be submitted by May/1/2017, via traceable mail, (such as FedEx, DHL, or UPS) to:

Catherine Beecroft International Graduate Programs for Educators South Wing 420 Buffalo State, NY 14222

Grades and credits for this course will be recorded on your transcript record at the end of the Spring (May). Transcripts with your grades and all coursework up to and including this semester will be available in Banner at the end of May 2017. Transcripts (official and unofficial) are now available online through the following link: http://registrar.buffalostate.edu/transcript-ordering

NAME: ______(______) Last/Family First Middle Maiden/Other Name(s) Please use the same name on all of your registrations (no nicknames or abbreviations) and notify our office of any name changes.

MAILING ADDRESS: ______FAX: ______

______PHONE: ______

E-MAIL ADDRESS: ______IMPORTANT! Please print clearly. Do NOT use hotmail addresses. Hotmail frequently rejects mail from colleges and universities.

SCHOOL NAME and COUNTRY: ______

DATE OF BIRTH: __/___/__ GENDER: MALE ___ FEMALE ___CITIZENSHIP: ______ETHNICITY:______Month/Day/Year

U.S. SOCIAL SECURITY OR BUFFALO STATE STUDENT NUMBER: ______- ______- ______Buffalo State Student Numbers will be assigned to all applicants, including non-U.S. citizens, after application for admission. NOTE: THE REGISTRATION FORM WILL NOT BE PROCESSED UNTIL THE STUDENT APPLIES FOR ADMISSION AND IS ACCEPTED TO THE SUNY - BUFFALO STATE GRADUATE SCHOOL

PLEASE CHECK ONE BELOW (REQUIRED)

__ I plan to use this course as part of a Multidisciplinary Studies Master’s Degree program..

__ I plan to use this course for professional development and NOT as part of a Multidisciplinary Studies Master’s Degree program.

______Signature Date For information regarding admission contact our admissions coordinator, Grace Vogt, at EDU 596: (Re)think/(Re)invent International Education 3 Credits [email protected]. For information regarding registration please Contact our registration coordinator, Cathy Beecroft, at [email protected] AASSA Spring 2017