Summer Project Registration Form

Student ID Number:
Class Year:
Major:
*First Name:
M.I.
*Last Name:
*Email:
Social Security Number:
*Country of Citizenship:
*Date of Birth:
Gender:	Male Female
*Covered by WPI Employee Benefit:	Yes No
International Students Only (check one):	F1 Student Visa J1 J-1 Visa H1 Special B1/B2 Tourist F2 Dependent of Student J2 Dependent of J-1 H4 Dependent of Special OT Other
U.S. & Permanent Resident Alien Students Only (check one)	(1) White, Non-Hispanic (2) Black, Non-Hispanic (3) Hispanic (38) Mexican American (39) Puerto Rican (4) Asian or Pacific Islander (5) American Indian or Alaskan
Title VI of the Civil Rights Act of 1964 requires that schools like WPI who are recipients of federal financial assistance must serve their students without regard to race, color or national origin. Therefore, in order to comply with Title VI, WPI must obtain the race/ethnic background category of every student who is enrolled. The data will be used for statistical purposes only, and will not be made part of the permanent transcript record.
If not a WPI student, Name of school presently attending:
City:
State:
*Local Address:
*Street:
*City:
*State:
*Zip:
*Phone:
*E-mail:
Business Name:
Street:
City:
State:
Zip:
Phone:
E-mail:
Student Schedule - Term E
Project or Independent Study:
Course Title:
*Credit:
*Advisor:
Project or Independent Study:
Course Title:
Credit:
Advisor:
*Total Credits:
Type in the following two words

Payment Information

Independent Study Project (ISP), MQP and IQP have a separate registration form.  

ISP, Thesis, PH.D, Directed Research (DR) have a deadline of May 10, 2010 to avoid the $50 summer registration fee.  Registrations after May 10, 2010 will be accepted with a $50 registration fee until June 30, 2010.  NO registrations will be accepted after June 30, 2010.

To pay by credit card (additional convenience fee will be charged), go to bannerweb.wpi.edu (student ID required). Payments in full for academic courses received prior to April 15, 2010, may have the convenience fee refunded. Proof of paid registration and amount of convenience fee must be mailed to the Summer Programs office. To pay by check, mail it with this form to the Office of the Registrar. Registration is open February 15, 2010. Payment is due with registration. Current WPI students may register online via the WPI Web Information System.

Course Changes

E1- Add/Drop closes May 14 (May 15-20 add/drop with $150 late fee)
E2- Add/Drop closes May 28 (May 29-June 6 add/drop with $150 late fee)
E3- Add/Drop closes July 16 (July 17-22 add/drop with $150 late fee)