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CCGPS Registration Form

To:(Academic Advisor):
Today's Date:
Name:
Student ID:
Address:
Check If Address Has Changed:
Preferred Phone Number:
Eastern Email:
Major
Cohort Number
Is This Your First Course at Eastern University CCGPS?
Session/YearCourse#Course NameLocationSection#Credit HrsCourse Date
Session/YearCourse#Course NameLocationSection#Credit HrsCourse Date
Session/YearCourse#Course NameLocationSection#Credit HrsCourse Date
Session/YearCourse#Course NameLocationSection#Credit HrsCourse Date
Payment
Signature

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