BURLINGTON CAMPUS At Burlington High School
STUDENT REGISTRATION FORM FOR SPECIAL STUDENT ENROLLMENT Fall 2014
COURSE: BUS 226-10 – Principles of Marketing – 3 credits Instructor: TBA Location: Burlington High School Saturdays 8:00 am – 12:30 pm (Saturday Sessions); September 27-December 20, 2014 (No class on 10/11, 10/25, 11/8, 11/29, 12/6). A survey of the marketing structure for the creation, research, and distribution of goods and services for all types of corporations is examined. Specifically, the fundamentals of the marketing mix: product development, promotion activities, price objectives and placement of goods or services will be explored. Students will also examine how communication, distribution, and exchange activities affect consumer behaviors. Name __________________________________________________________________________ First Middle Last Date of Birth ____/____/____
Social Security Number _____________________________
Street __________________________________________________________________________ City, State, Zip ___________________________________________________________________ Phone Number (Home) __________________________ Cell ______________________________ Primary Email ____________________________________________________________________ Are you a citizen of the United States? ______ If “No,” Country of citizenship __________________ Semester ________________ Year________________
Date ___________________________
□ Male □ Female □ I have enrolled previously
Last date of attendance ___________________________
_______________________________________________________________________________
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GOALS STATEMENT What are your current professional and personal goals, and why are you requesting to take this course? (Please print or type. Attach a separate sheet, if needed, or if you prefer.)
ETHNIC ORIGIN (information gathered for government survey requirements only)
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African-American
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Hispanic American
American Indian or Alaskan Native
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White/Non Hispanic
Asian or Pacific Islander
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Other
_______________________________________________________________________________
SIGNATURE OF THE APPLICANT We certify that the above information is complete and correct. We further understand that falsification or failure to supply correct information may lead to the disqualification of my application for dual enrollment admission to Bay Path College for September 2014. I also agree to purchase course text prior to the first class. Signature of applicant ___________________________________ Date ___________________ Signature of parent/guardian______________________________ Date ____________________ _______________________________________________________________________________ It is the policy of Bay Path College to provide equal opportunity in all educational programs and activities, admissions of students and conditions of employment for all qualified individuals regardless of race, color, gender, religion, age, disability, national origin, and/or sexual preference. The information regarding diversity requested in the application form is for the completion of statistical information only and is not used as a basis for admission.
STUDENTS
1.Complete the application form and submit this form to Guidance. 2.Purchase required books: Lamb, C. W., Hair, J. F., & McDaniel, C. (2013). MKTG7. Boston, MA: Cengage Learning.
PLEASE RETURN THIS APPLICATION TOthTHE BHS GUIDANCE OFFICE BY August 29
123 Cambridge Street, Burlington, MA 01803
781-272-0222
Fax: 781-272-0112
www.baypath.edu
06/19/2014
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