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) Course information may be found on the Non-credit classes page. Inaccurate course information may delay your registration.
1. Course Number (required): 1. Course Title (required): 1. Start Date (required - format mm/dd/yyyy):
Where did you hear about our non-credit course offerings? Paper catalogOnline catalogSocial mediaWord of mouthOther (please indicate below)
If you answered "Other" to the previous question, please indicate here where you heard about our non-credit course offerings.
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
Δ