One College Drive
Calais, ME 04619
207-454-1012
Continuing Education,
Community Service, &
Non-Degree Seeking
Instate: 800-210-6932
Fax: 207-454-1092
CED Form Non Matriculated
Registration Revised: May 7, 2020; mda Page 1 of 2
Non-Matriculated Registration
Submit completed form to Elisa LaPointe, Enrollment Services Representative, at elapointe@wccc.me.edu.
Last Name: ___________________________________ First Name: __________________________________ M.I.: _____________
Birth/Other Name: ___________________________________ Email address: ____________________________________________
Mailing Address: _______________________________________ City: ______________________ State: _________ Zip: ________
County: ___________________ Phone Number: ______________________ Mobile Phone Number: __________________________
Cell phone carrier: US Cellular Verizon AT & T Tracfone
Other __________
Social Security / Social Insurance Number: __________________________________
Gender*: Female Male Birth Date: _______________________________________________
Minor Release Form Required For Students Under 18 Years Of Age
Ethnic Group* (Choose One): Not Hispanic/Latino Hispanic/Latino
Race*: American Indian Or Alaska Native Asian
(Choose all Black Or African American White
that apply) Native Hawaiian Or Other Pacific Islander
*Optional-This Information Is Used For Reporting Purposes Only
Your Reason For Enrolling Degree Or Certificate Personal Enrichment
Transfer To Another College Skills For Employment Other
I Have Been A Resident Of Maine Since _______________________ (For Non-Educational Purposes)
Are You A U.S. Citizen? Yes No Proof Of Maine/US Residency Required To Qualify For In-State Tuition
Registration Year __________ Term Fall Spring Summer
COURSE CODE
NUMBER & SECTION
COURSE TITLE
CREDITS
AUDIT/
REPEAT
OFFICE
USE
YOUR SIGNATURE INDICATES YOU HAVE READ AND UNDERSTAND THE CONDITIONS STATED ON THE BACK OF THIS FORM.
Student Signature: _______________________________________________________________________Date:________________
One College Drive
Calais, ME 04619
207-454-1012
Continuing Education,
Community Service, &
Non-Degree Seeking
Instate: 800-210-6932
Fax: 207-454-1092
CED – Form Non Matriculated
Registration Revised: May 7, 2020; mda Page 2 of 2
Tuition Refunds
Official drop/withdrawal means the student’s timely and complete execution of documents required by the college to accomplish
formal removal from, as appropriate to the context, the college or its course(s).
Within 6 calendar days of semester start 100%
Within 7-10 calendar days of semester start. 50%
After 10 calendar days of semester start. NO REFUND
Course is canceled by college. 100%
Terms & Conditions
Any change in your credit load may affect your academic standing (program/graduation requirements) as well as your
eligibility for financial aid and/or veterans’ educational benefits.
You are responsible for the financial obligation related to your registered courses.
If you have a disabling condition and wish to request accommodations in order to have reasonable access to our programs
and services, you may register with Dora Adams, Student Support Services Accessibility Specialist, at 454-1093.
Students who have NOT paid their tuition and fees in full (or enrolled in the College payment plan) by the due date for the
current term risk having their registration cancelled. Contact Heather Smale in Student Accounts regarding your bill at 454-
1025.
Student signature is required on the registration form.
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