Note: You must submit a separate form for each term from which you wish to request classes.
I am requesting registration for the term and year below (example: Spring 2021):
C-GCC ID Number (if known)
First Name (required):
Middle Name or Initial:
Last Name (required):
Former Name (used previously at C-GCC):
Date of birth mm/dd/yyyy (required):
Current Email Address (required):
Preferred Phone Number Including Area Code (required): Is this a cell phone? Yes
Mailing Address
Street or P.O. Box (required):
City (required):
State/Territory (required):
Zip Code:
County of Residence (required): ColumbiaGreeneDutchessUlsterRensselaerAlbanyOut of StateOther county not listed:
Enter Course Requests Below (a maximum of three courses may be requested on this form) Check the Continuing Education page for more information about continuing education and noncredit classes. Inaccurate course information may delay your registration.
1. Course Number (required): 1. Course Title (required): 1. Start Date (required - format mm/dd/yyyy):
Please read and check the boxes next to each of the acknowledgements below.
(Required) I understand that this is a REQUEST to register for the classes I have selected, and that there may be reasons why I cannot be registered in the selected classes, including, but not limited to space availability, previous outstanding obligations to the college, and/or incomplete information submitted on the form. (Required) I acknowledge that by checking this box, the Office of Community Engagement and Professional Development will call me to collect my payment information. I understand that I am not considered registered for any non-credit classes until payment is received.
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