Credit-Free Instructor Payment Request
REQUIRED
February 2019/PR
To be completed by Continuing Education Credit-Free Instructors. One form per course. You must complete and return both a Credit-Free Course Grade
Roster and this Credit-Free Instructor Payment Request form before payment can be processed.
Mail both forms to Manchester Community College Registrar’s Office, MS #13, P.O. Box 1046, Manchester, CT 06045-1046 or email both forms to
CEinfo@manchestercc.edu.
I hereby certify that I have completed instructing:
I have completed and enclosed the grade roster for this class and request that the payment process be initiated.
Credit-Free Instructor Name MI Last Name
Credit-Free Instructor Signature Date
Course CRN Number
Start Date
End Date
Total Hours Taught
Course Title
Chrome Web Store
It looks like you haven't installed the Fill Chrome Extension Add to Chrome