Registration Survey

Please complete this survey so we can better assist you with your upcoming quarter registration

Home Campus:

Name:

Student ID:

E-Mail:

Work Phone:

Home Phone:

Have you registered for the upcoming quarter?

Yes No

If not, do you intend to register for the upcoming quarter?

Yes No

If you do plan to register, what courses do you plan to take? (include section, if possible)

Course	Section
1.
2.
3.
4.

Would you like us to register you for these classes?

Yes No

Method of payment:

Please check the appropriate box(es):

Financial Aid
SEL
Promissory Note
Sponsored
Other

By clicking this box, I consent to receiving telephone calls and/or e-mails from Strayer University at the telephone number and/or e-mail address indicated here.

Thank you,

Strayer University

(* Required fields are designated with an asterisk)