Columbia-Greene Community College
Office of Community Engagement and Professional Development

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):

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 agree to pay any fees associated with the courses I have requested above, if I am registered for them.