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    This registration form is for non-credit courses offered through Nassau Community College's Language Center. It requests basic contact information from students, asks them to select courses, and provides instructions for registering via fax, email, mail, or in-person. It notes that registration ensures a seat if space is available, to register early. It also includes information on vaccination requirements, refund policies, and how students heard about the courses.

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    This registration form is for non-credit courses offered through Nassau Community College's Language Center. It requests basic contact information from students, asks them to select courses, and provides instructions for registering via fax, email, mail, or in-person. It notes that registration ensures a seat if space is available, to register early. It also includes information on vaccination requirements, refund policies, and how students heard about the courses.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    15 views1 page

    Summer English

    Uploaded by

    sofy maurizi
    This registration form is for non-credit courses offered through Nassau Community College's Language Center. It requests basic contact information from students, asks them to select courses, and provides instructions for registering via fax, email, mail, or in-person. It notes that registration ensures a seat if space is available, to register early. It also includes information on vaccination requirements, refund policies, and how students heard about the courses.

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    of 1

    Language Center - Registration Form

    SPECIAL NOTE: Last Name First Name


    Receipt of your registration Address
    information ensures a seat in the
    course(s) you select on a City Zip
    space available basis.
    PLEASE REGISTER EARLY! Home Phone: ( ) Cell Phone: ( )
    We will send you a receipt with *Birthdate: mm/dd/yyyy __ __/__ __/__ __ __ __ I identify my gender as:
    the course location map and a
    parking pass (for student/visitor Have you ever taken any courses at NCC? q Yes q No NCC ID# N00
    parking only) by email.
    Non-credit Lifelong Learning *Preferred E-mail:
    classes are not applicable
    *Alternate E-mail:
    toward any college degree.
    They do not involve record- *required information
    COURSE SELECTION
    keeping, transcripts or
    certificates, except where noted. YOU MUST BE 17 OR OLDER TO REGISTER WITH THE EXCEPTION OF HSE PREP COURSES.
    If you have any questions, CED # SECTION COURSE TITLE START DATE FEE
    call 516.572.7062 or e-mail:
    LC@ncc.edu

    CLASSES WILL NOT MEET


    ON MAY 29, JUNE 30,
    JULY 1-4.
    Total Amount: $

    HOW TO REGISTER q Au Pair

    FOR NON-CREDIT q By submitting this registration form, I am aware that I have to submit my vaccination
    information to SUNY vaccination site at least one (1) week prior to the start of my class(es).

    COURSES q By submitting this registration form, I am accepting the terms of the refund policy noted below.
    q I certify that there is sufficient credit amount on the card listed below to cover the fee charges
    FAX-IN shown on this Registration Form. Otherwise, I understand the lack of approval by my credit
    516.828.3507 card company will result in cancellation of this registration for non-payment.

    CREDIT CARD PAYMENT INSTRUCTIONS:


    EMAIL-IN q I authorize the use of my credit card account for full payment of the amount of my course
    LC@ncc.edu
    registration as indicated on this non-credit registration application.

    MAIL-IN Credit Card Processing Fee of 2.75% applies ONLY if a student pays online through the
    Nassau Community College NCC portal.
    Office of Workforce Development
    Step 1: Print Cardholder’s name:
    & Lifelong Learning
    (as it appears on the credit card)
    One Education Drive
    Garden City, NY 11530-6793 Step 2: Provide Cardholder’s signature:

    WALK-IN Step 3: Card Information:


    355 East Road (on NCC Campus) PLEASE Check ONE: q VISA q Mastercard q Discover q American Express
    Card Number: Date of Expiration: __ __/__ __ __ __
    FOLLOW
    Like us on Facebook
    Non-Credit Refund Policy: Fee is refundable when a
    "Continuing Education" course is canceled by the College. Fee is refundable to
    HOW DID YOU HEAR ABOUT OUR COURSES?
    at Nassau Community College the student whose written request for withdrawal has
    q Brochure/Mail q Family/Friend been received by the Office of Workforce Development
    All students with a regular on- & Lifelong Learning prior to the beginning of the class.
    q Website q Facebook/Instagram A 50% refund of fee may be made to the student
    campus presence (more than once
    a week) are required to adhere to q Email q Google who has applied in writing to the Office of Workforce
    Development & Lifelong Learning prior to the second
    the College's vaccination policies. q Other: session of the class. NO REFUNDS WILL BE MADE
    Please visit www.ncc.edu/nccnext AFTER THE SECOND CLASS MEETING OF ANY CLASS.
    for additional information. Please be advised that if a refund is due it will take approximately 2-3 weeks to be processed.

    The deadline
    Nassau forCollege
    Community mailing| in registration
    516.572.7062 is MayCenter,
    | Language Office ofBeyond
    24, 2023. Workforcedeadline, please
    Development call Learning
    and Lifelong for class| availability.
    LC@ncc.edu 4

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