Continuing Education OFFLINE ENROLLMENT FORM
Online enrollment available at continuingedtacoma.com
Continuing Education Department • 3993 Hunt Street, Gig Harbor WA 98335 • 253-460-2424 • continuingedtacoma.com
The Continuing Education Department must receive this completed form seven days prior to the first day of class.
Payment is due at the time of enrollment.
Personal (required)
First Name Middle Initial Last Name
ctcLink ID# Date of Birth
Address (required)
Address Type
Home
Mailing
Country United States
Address
Phone (required)
Email (required)
• • •
MY CLASSES
CLASS # CLASS TITLE LOCATION PRICE
Cash
Check
TOTAL
Signature Date
Mail or drop off completed form to: Continuing Education Department - c/o Tacoma Community College - 3993 Hunt St NW, Gig Harbor WA 98355
STAFF ONLY
STAFF NOTES DATE PAYMENT
Tacoma Community College values diversity and is an Equal Opportunity Employer and Educator. Tacoma Community College provides equal opportunity in education and
employment and does not discriminate on the basis of race, color, national origin, age, disability, genetic information, sex, sexual orientation, marital status, creed, religion,
or status as a veteran of war. Prohibited sex discrimination includes sexual harassment (unwelcome sexual conduct of various types). Provides reasonable accommodations
for qualified students, employees, and applicants with disabilities in accordance with the Americans with Disabilities Act and Federal Rehabilitation Act. The following officers
have been designated to handle inquiries regarding non-discrimination policies: Title II and Title IX Officer, Bldg. 14, 253-566-5055; Section 504 Officer, Bldg. 7, 253-566-6090.
16MAY2019
28MAR2016
CONTINUING EDUCATION
