Columbia-Greene Community College
CREDIT REGISTRATION FORM

For Non-Degree-Seeking Students Only
(Degree-Seeking Students Must Register with an Academic Advisor)
Note: You must submit a separate form for each term for which you wish to register.

I wish to register for the term selected below
Summer 2020Fall 2020

C-GCC ID Number (if known):

First Name (required):

Middle Name or Initial:

Last Name (required):

Date of birth mm/dd/yyyy (required):

I am FemaleMale

Is English your native language?
Yes - English is my native languageNo - English is not my native language

Select one or more options below that best describe your race or ethnicity
WhiteBlack or African AmericanNative Hawaiian or Other Pacific IslanderAsianAmerican Indian or Alaska Native
I am Hispanic/LatinoI am not Hispanic/Latino
If you indicated you are Hispanic/Latino, please select one option below:
Central AmericanPuerto RicanMexicanDominicanSouth AmericanOther Hispanic/LatinoNot Hispanic/Latino

Current Email Address (required):

Preferred Phone Number Including Area Code (required):

Mailing Address

Street or P.O. Box (required):

City (required):

State/Territory (required):

Zip Code (required):

County (required):
ColumbiaGreeneDutchessUlsterRensselaerAlbanyOut of StateOther county not listed:

Permanent Residence Address

Street and Number (required):

City (required):

State/Territory (required):

Zip Code (required):

County of Residence (required):
ColumbiaGreeneDutchessUlsterRensselaerAlbanyOut of StateOther county not listed:

Select the high school you last attended from the drop-down list:
Select the high school you attended lastCairo-Durham High SchoolCatskill Senior High SchoolChatham High SchoolCoxsackie-Athens High SchoolFaith Christian AcademyGermantown Central SchoolGilboa-Conesville Central SchGreenville Jr-Sr High SchoolHawthorne Valley SchoolHudson High SchoolHunter-Tannersville Central HSIchabod Crane High SchoolKingston High SchoolNew Lebanon Jr/Sr High SchoolRavena-Coeymans-Selkirk High SchoolRed Hook High SchoolRhinebeck High SchoolSaugerties Senior High SchoolStissing Mountain Jr-Sr HSTaconic Hills Central HSWebutuck High SchoolWindham Ashland Jewett Central SchoolOther High School Not in List:

If you selected Other High School Not in List above, please enter the name of the high school you last attended:

Year you graduated from high school (YYYY format - enter 0000 if you did not graduate)

I attended a High School in New York state for 2 years or moreI did not attend a high school in New York state for 2 years or more

Enter Course Requests Below (total credits must be no more than 11)
Course information may be found on the class schedule page. Inaccurate course information may delay your registration.

1. Course ID and Section (required):
1. Course Title (required):
1. Course Credits (required):

Comments

Please read and check the boxes next to each of the acknowledgements below.

(Required) I understand that I am responsible for having completed any appropriate prerequisite courses prior to enrollment in the requested courses.
(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 agree to pay any tuition and fees associated with the courses I have requested above, if I am registered for them.