Fall 2013 Module
- Review the Degree Completion Worksheet and, if appropriate, the Degree Program Section of the catalog.
- Submit this completed form to the Registrar's Office via: mail, email, fax or in-person (see below) before the Registration deadline.
Full Name: _______________________________________________ Student ID:________________________
Full Mailing Address: __________________________________________________________________________
Email:email@example.com Phone (primary contact):_________________________
Section 2 - Student Status (choose only one):
||I am a new student. This will be my first term in the ThM- Historical Theology (London) program.
||I am in my coursework phase and have taken one or more modules.
||I am in my post-coursework phase, having completed all required modules.
Section 3 - Fall 2013 Module(s) (For coursework phase students only. Choose a or b):
| a) I am registering for the Fall 2013 module(s) indicated below.
| b) I have chosen not to register for the Fall 2013 modules indicated below.*
* I understand that I should complete all required modules within three years of initial matriculation.
**Post-modular coursework deadline is also the deadline to submit an Incomplete Request and/or Course Withdrawal Request. For details and instructions about submitting an Incomplete Request and Withdrawing from a course, please see the appropriate Degree Program Section of the catalog.
Section 4 - Expected Graduation Year: I expect to graduate in May 20_____.
Section 5 - Student Privacy Rights:
I have read the Annual Notification of Privacy Rights under FERPA. Yes _____ No _____
I am submitting a Request to Withhold Directory Information. Yes _____ No _____
Student's Signature:__________________________________________ Date:____________________
Westminster Theological Seminary, P.O. Box 27009, Philadelphia, PA 19118, Fax: 215-887-5404, firstname.lastname@example.org