Boys State - NJ Government and Politics (POL 200) Registration

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Academic Interest - Hidden*

Student Type - Hidden*

Student Information

Student's First Name *

Student's Preferred/Lived Name

Student's Last Name*

Student's Birthdate *

Student's Social Security # (Used to issue IRS 1098-T form):

Student's Email Address *

Parent Email Address *

Mailing Address *

Country

Street

City

Region

Postal Code

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Most Recent School Attended *

CEEB

High School Graduation Year

** Level of Student - HIDDEN **

High School

Signatures & Payment

Please type your initials as an electronic signature.

Parent Signature *

Student Signature *

I understand that the submission of this form will allow me to register for POL-200 “New Jersey Politics and Government.” I have reviewed this form to be sure that all information is accurate. Any submission of inaccurate information that the University believes is material or intentional may result in withdrawal or dismissal from the University, without refund of tuition or fees. I agree to abide by the standards and spirit of the Codes of Academic and Social Conduct.

I have read and understand the requirements for credit for the course, including the August 10 deadline for the written assignment. I also understand that an important part of being a college student is advocating for myself in a timely fashion should a situation arise that might warrant special consideration.

I agree

The special pricing for this three-credit course is $275 if you enroll by June 15. If you enroll between June 16 and June 30, the price is $300. Tuition fee is non-refundable.

No enrollment for college credits can be accepted after June 30.

There is an added transaction fee of $1.25 for Checking Account payments or $6.78 for credit card payment. ($275 Tuition)
There is an added transaction fee of $1.25 for Checking Account payments or $7.37 for credit card payment. ($300 Tuition)

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Amount Due

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Total

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Boys State - NJ Government and Politics (POL 200) Registration - 2026