Student Activity Inventory Form

*** All incoming students are required to submit this form.

Please complete the following by inserting your answers into the spaces provided. You must enter your name and e-mail for the form to be processed.

First Name:		Last Name:
E-mail:		Last 4 Digits of SSN:
Phone #:		Cell Phone #:
I plan to live:
I plan to commute:		My commuting distance to campus:
I expect my major area of study to be:		I am undecided as to my major area of study:
I plan to participate in:
If sports, which sports?
I plan to work off campus:		If yes, how many hrs. per week.
My anticipated work schedule will be:	Su M T W R F Sa
Please use the spaces below to indicate days and times when you absolutely cannot schedule class because of other commitments.	Su M T W R F Sa
Would you like to have an upper-class student or staff mentor?
Please indicate the areas in which you would like to take courses (other than in your major)
Please write in any other courses that are not included on this list may interest you.
Are there any areas in which you definitely would not want to take classes?
Any other information you would like us to know about?

Visitors > Alumni > Current Students > Faculty & Staff >

California University of Pennsylvania | 250 University Ave., California, PA 15419 | Phone: 724.938.4000
This Page Last Updated: 4/28/2008 by moore
webteam@cup.edu

Accounting
Anthropology
Art
Biology
Business
Chemistry
Computer Science
Criminal Justice
Economics
Earth Science
Environmental Science
Foreign Languages - Spanish
Foreign Languages - French
Geography
Health and Physical Education
History
Literature
Management
Mathematics
Meteorology
Music
Parks and Recreation
Philosophy
Physical Science
Physics
Political Science
Psychology
Social Work
Sociology
Speech
Sports Medicine
Technology
Theatre
Travel and Tourism