Summer Teacher Registration

Request Information

To register for summer teacher classes, please fill out the following form. Before beginning, please have ready the title of the class(es) you wish to take as well as the course prefix, number, and the number of credits you wish to register for. If you have any questions regarding registration, please call the Education Office at 707-965-7265 or summerteacher@puc.edu.

To ensure timely processing, this form must be submitted 3 business days prior to the first day of the desired quarter.

Please note that this form is not a tuition waiver document. You must request that the Tuition Waiver Form be signed by your conference official and submitted directly to PUC's Business Office. If the PUC Business Office does not receive a copy of the Tuition Waiver Form signed by a conference official, you will be personally responsible for all tuition, charges & fees.

Download Tuition Waiver Form

Personal

Mailing Address *

City *

Zip *

State *

First Name *

Last Name *

Middle Name

Phone *

Email Address *

Maiden Name

Date of Birth *

Day Month Year

Classes Info

Conference

Grades/Subjects Taught Grades/Subjects you will teach next year

Comments/Questions

Class 1

Prefix and Course Number *
View all available summer courses.

Course Title *

Credits *

Class 2

Prefix and Course Number
View all available summer courses.

Course Title

Credits

Class 3

Prefix and Course Number
View all available summer courses.

Course Title

Credits

Class 4

Prefix and Course Number
View all available summer courses.

Course Title

Credits

Agreement

Please choose one *

I state my intention to submit a signed Tuition Waiver Form to PUC's Business Office. I agree that, in the event that the form is not submitted to the Business Office, I will be solely responsible for paying all tuition and fees incurred.
I state that I am not employed by a conference within the Pacific Union and do not plan to submit a Tuition Waiver form. I will be solely responsible for all tuition and fees incurred.

Drop Class Agreement *

I agree that unless I formally drop any summer class with both Records and Sarah Gitter by the drop date listed in the syllabus I will receive either an “F” or “Fail” grade for that class.

Housing

Do you need residence hall accommodations? *

If “Yes” please specify the type of accommodation needed

Questions/Requests

Tuition Waiver

Upload Signed Tuition Waiver Authorization Form

Education

About Education

Summer Teacher Registration