CSU-Pueblo Graduate Credit Registration Form

CSU-Pueblo Graduate Credit Registration Form
- NOTE: You will need to register directly with CSU-P to obtain credit. Your confirmation email from CEA will contain information on how to register for the credit. It is highly recommended that you register with CSU-P immediately after receiving the information to ensure your credit registration is applied to the correct dates.
Step 1: Complete this registration form.

Step 2: Complete the CSU-P credit registration form (this will be included in your confirmation email from CEA).
Term *
Full Name *

First Name Middle Name Last Name
Maiden Name

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Date of Birth (MM/DD/YYYY) *
E-mail *
Phone Number *

Area Code Phone Number
Gender *
How did you find out about CEA? *

Facebook Google Ad Online Search Email from CEA Email from University University Website
Please register me for: *
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Total $ 0.00
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