CARMELITE STUDIES
DISTANCE EDUCATION PROGRAM
COURSE REGISTRATION FORM
(Please type or print)
Name _______________________________________ SSN ____________ Phone _____________________________
Address ______________________________________________________ Fax _______________________________
City/State ____________________________Zip Code __________ Email ___________________________________
___Lay, T.O.Carm. ___Secular, O.C.D.S. ___Diocesan ___Other _______________________________________________
Name of Religious Community __________________________________________________ Initials_____________
College/University Attended _____________________________Degree_________________ Year ______________
__ I am registering for the first time
__ I am interested in a Certificate in Carmelite Studies from WTU (credit)
__ I am interested in a Certificate in Carmelite Studies from the Carmelite Institute (non-credit)
2008-2009 Academic Year: ___September 15 -January 15 (first
semester)
or ___ February 15 -June 15 (second semester)
List the Course For Which You Are Registering:
_________________________________________________________________________________________________
• $200 partial or $800 total tuition payment for credit.
• $200 partial or $600 total tuition payment for non-credit.
• $30.00 first-time, non-refundable fee
• Letter stating purpose for studying courses, with the intent to obtain a certificate or to study courses independently.
• Make check(s) payable to: CARMELITE INSTITUTE
DISTANCE EDUCATION PROGRAM - CARMELITE INSTITUTE
Carmelite
Institute
Hecker Center, Suite #10
3025 4th Street, NE
Washington, D.C. (USA) 20017-1102
Voice: (202) 635-3534 § Fax: (202) 635-3538
E-mail: mail@carmeliteinstitute.org