ROCKLAND COMMUNITY COLLEGE
ADVISEMENT/REGISTRATION FORM Records & Registration
1. Some of your financial aid awards may be reduced or canceled if (1) You register for courses that are not
applicable to your degree requirements; or (2) You change from full-time to part-time status.
2. Please present this form at the Records & Registration window or scan and email it with a copy of your photo ID to
records@sunyrockland.edu.
ADVISOR COMMENTS AND COURSE RECOMMENDATIONS:
CRN
Course Code:
Dept-Code-Section
Course Title Credits Days Time
Example:
50270
ENG-10100-521 College Writing I 3 Online
Year ___________
Semester: Fall
Winter
Spring Summer I Summer II Summer III
ID#
orSSN Date
Last Name
First Name
Dateof Birth
(for record matching purposes)
Degree Sheet Used: Year
____________
Degree ______________________________________________
Degree Audit Used: _____Yes _____ No Transcript Used: _____Yes _____ No
Advisor Name
(print) _____
_
Advisor Signature
Date
Unless I drop/withdraw by the tuition refund dates listed on the Student Accounts website, I understand that upon my registration I have made a
contractual financial obligation to pay all tuition and fees associated with my registered classes. "Not Attending" does not remove this obligation.
I understand I will be fully responsible for all tuition and fee charges not covered by financial aid and am required to make payment arrangements
to satisfy these charges. Failure to make payment arrangements may result in my class selections being administratively canceled. I understand
and agree that RCC may assess financial penalties on any past due amount, that this amount may be referred to an outside collection agency,
and that collection costs may be passed on to me resulting i n additional charges that may approximate 25% of my outstanding principal debt.
Student Signature
Date
