47
Continuing Education & Workforce
Development / Non-Credit Registration Form
Revised 5/18/2020
CRN #
Subject & Course ID #
Section # Course Title Days (circle)
M
T
W
Th
F
Sa
M
T
W
Th
F
Sa
M
T
W
Th
F
Sa
M
T
W
Th
F
Sa
Please circle the semester
for which you wish to register: Fall Spring Summer Year___________________ Are you a veteran? _____ yes
STUDENT ID # @ _____ _____ _____ ____________________________ _____ _____ _____ _____ (New and Readmit Students must contact the Admissions Office to activate
your student status. It may take 24 hours for access to your myCommNet account).
HOME PHONE (include area code) MOBILE PHONE (include area code)
Check box if this is a new address
EMAIL
LEGAL LAST NAME (PLEASE PRINT) LEGAL FIRST NAME MI FORMER NAME
PERMANENT ADDRESS APT. CITY STATE ZIP CODE
( )
PLEASE CAREFULLY PRINT ALL INFORMATION REQUESTED BELOW:
By Mail
Make check or money order
payable to NCC and mail to:
NCC Records Office
188 Richards Ave.
Norwalk, CT 06854
Must be received 3 business days
before class begins.
By Phone
Call (203) 857-7237.
You will be called back
within 24 hours.
( )
Advisor’s authorization is required for ESL non-credit course registration.
Advisor's Signature ___________________________________ Advisors Printed Name ___________________________________ Date _____ / _____ / _________
The college reserves the right to cancel classes or limit class size. The semester Course Schedule is subject to change.
Refund Policy: A student who withdraws by the last BUSINESS DAY (24 hours) prior to the class start date is entitled to a full refund. No refund will be
made aer the first class meeting of the course except in cases of: serious illness, call to active military duty, or other extenuating circumstances.
Documentation will be required by the Division of Continuing Education to support the refund appeal.
YOU WILL BE CONTACTED FOR PAYMENT
I understand that a form of payment must be processed at the Business Oice. I have read and understand the refund policy.
Student's Signature ___________________________________ Student's Printed Name ___________________________________ Date _____ / _____ / _________
__________________________________________________________________________________________________________________________
TO BE COMPLETED BY BUSINESS OFFICE. PAYMENT INFORMATION
By Email:
IMPORTANT:
IF you are NEW to NCC please email this to Admissions@ncc.commnet.edu
IF you are RETURNING to NCC please email NK-RecordsOffice@ncc.commnet.edu
Online:
IF you have a banner ID number you can register on myCommNet
Directions for registering on myCommNet can be found here:
https://norwalk.edu/records/registration/
click to sign
signature
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click to sign
signature
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