ISP Student Enrollment Reservation

International Student Enrollment Reservation Form

We are very excited about your acceptance to Santa Rosa Junior College. In order to hold your space for the entering class of the upcoming term, you must complete and submit this form as soon as possible and no later than the date stated on your admission letter. This Student Enrollment Reservation (SER) form does not guarantee specific course or program availability. If you have a question about this form, please email intlapp@santarosa.edu.

FormTitle*

Name*

First Name

Last Name

SRJC Student ID Number (SID)*

Found on your admissions letter

Email*

Phone*

Address*

Address Line 1

Address Line 2

City

State/Province

ZIP / Postal

Country

Please confirm the following:*

Please hold a space for me in the term indicated below I decided not to attend SRJC

Semester/Year*

Found on your admissions letter. Example: Fall 2019

Signature*

[clear]

Use your mouse or finger to draw your signature above