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CIC-TEP Registration Form

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Note: Institutions apply for membership in CIC-TEP through the President's Office.

To register an institution for CIC's Tuition Exchange Program, please fill out the following form and mail the annual registration fee of $350 (check payable to "CIC") to: CIC-TEP, One Dupont Circle, Suite 320; Washington, DC 20036-1142.

*Name of Institution:

*Approval of College President:
(enter president's name if approved)

*Date:

I designate the following individual as Tuition Exchange Liaison Officer:

*Name:

*Title:

*Address:

*City:

*State:

*Zip Code:

Country:

*Phone:

*Fax:

*E-mail:

*Can benefits be used for a graduate program?

*Can benefits be used for a "study abroad" program?

*Can benefits be used for part-time study?

I understand and agree to the terms of the CIC Tuition Exchange Program.

or

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