Millersville University

SOPI/FLEA Registration Form

First Name: Middle Name: Last Name:

MU Id #:

Class Standing

Marauder E-mail address:

Street Address: City:

State: Zip:

Phone Number: ( ) -

Degree/Major:

SOPHOMORES:	Please complete Section A only to register for the Sophomore SOPI
SENIORS:	Please skip to Section B to register for the Sr. SOPI and FLEA

Number of credits completed at MU (do not include "in-progress" credits):

I have successfully completed:

I am planning to graduate this Academic Year:

Have you taken the Sophomore SOPI? Yes No

I will submit an original portfolio and a digital copy on or before the current deadline:
Yes
No; Reason:

I am registering for the: