Science Registration Form SU11 .pdf

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Original filename: Science Registration Form SU11.pdf
Title: Science Registration Form SU11
Author: kjohnson

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New England School of Acupuncture
SCIENCE COURSE REGISTRATION FORM Summer 2011
Term Calendar: Monday, May 9th – Monday, August 8th 2011
No classes Monday, July 4th – Saturday, July 10th

Name:

_____ Soc. Security #:

Address:
City, State, ZIP:
Primary phone(s):
E-mail Address:

Summer 2011 Science Schedule
Please check the course(s) for which you are registering:
Anatomy & Physiology I (5/9 -6/21)
M/W
Anatomy & Physiology II (6/23-8/2)
M/W
Anatomy Lab
Sat
Biology
T
Biochemistry
T
General Chemistry
M
Microbiology
W

5:00 pm - 8:45 pm
5:00 pm – 8:45 pm
9:00 am – 2:00 pm
12:45 pm – 4:30 pm
9:00 am – 12:45 pm
12:45 pm – 4:30 pm
12:45 pm – 4:30 pm









Note: Anatomy & Physiology I is a pre-requisite to Anatomy & Physiology II. General Chemistry is a prerequisite to Biochemistry.
Each science course costs $525.00. Payment is required in full at the time of registration.

Number of Courses: _____ x $525 = $________
Seats are allotted on a first-come, first-serve basis. You will receive a confirmation via e-mail upon
receipt of your payment; there are no refunds after the first class meeting.

Return this form with your payment to:
Registrar, New England School of Acupuncture, 150 California Street, Newton, MA 02458.
Checks should be made out to “NESA”
Attention: Non- Matriculating Students
If you are currently taking western science courses with the intention of enrolling at NESA, but you
have not yet applied to the program, please contact the Admissions Department as soon as possible at
(617) 558-1788 x105. We strongly encourage you to apply to the program BEFORE attempting to
complete all the Introductory and Co-Requisite science courses.

Signature:

Date:


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