UWEST COMMUNITY EDUCATION ENROLLMENT

Community Education 2023

University of the West is located at 1409 Walnut Grove Avenue in Rosemead, California.

I would like to enroll for...*

Total $0.00

Buddhist Meditation is offered in person and remotely. Please indicate here how you plan to attend.*

ON CAMPUS (classes meet in-person at University of the West)REMOTE (classes meet remotely via Zoom)

Full Name (in English)*

PrefixFirst NameLast Name

Preferred Name (in English)

If other than listed above

E-mail*

ex: myname@example.com

Date of Birth*

You must provide your real date of birth

Phone Number*

Country CodeArea CodePhone Number

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Have you ever attended or are you currently attending UWest?*

YesNo

Your UWest Student ID number (if available)

Community Class Enrollment Agreement

By signing below, I understand that I am enrolling in a Community Education course at University of the West that is offered for no credit and is not applicable to any UWest degree or certificate program at any time. The course fee does not include the cost of additional materials, nor does it include access to UWest's Library and other on-campus services.

I understand that the course fee is non-refundable.

I understand that class sessions may be recorded and made available to enrolled students through a private YouTube link.

I agree to abide by university policies and procedures, including Covid protocols for on-campus classes.

Signature

Clear

or type your name here (signature)*

You may save your application and return to it later by clicking the SAVE button below. You will receive an email about how to access your application. Please note that your registration will not be complete until you click the REGISTER button and pay for the course.

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When you click on the REGISTER button below, you will leave this site temporarily in order to make your payment.

Once your payment has been made, you will receive an email confirmation of your registration.