HCM 02/2020
CFK CREDIT REGISTRATION FORM USE:
TO REGISTER STUDENTS.
AFTER DROP/ADD PERIOD A SIGNED INSTRUCTOR PERMISSION FORM IS REQUIRED IN ADDITION TO THIS FORM.
DO NOT USE FOR WITHDRAWALS. A separate form is required and must be submitted directly from the instructor to ADMISSIONS@FKCC.EDU.
PAYMENT DUE: PER COLLEGE TERM DEADLINES OR UPON REGISTRATION IF WITHIN OR AFTER THE DROP/ADD PERIOD.
AUDIT STUDENTS: Changes from credit to audit require student’s signature. Audit students may not change to credit once the drop/add period has ended.
Veterans and other students with special registration codes may not audit any course. See Staff Instruction 1.
Name: Student ID Number:
_______________________________________________________________________________________________________________________
Last First Middle
INDICATE TERM OF REGISTRATION: FALL _________ SPRING_________ SUMMER _________ ADVISING INITIALS: PROBATION READMIT: __________ SUSPENSION READMIT: __________
By registering for courses, I understand and agree that I am registering for courses and am responsible for the payment of all tuition and fees by the established due dates on academic calendar, unless I drop the courses during
the refund period. If my account becomes delinquent, I will be responsible for paying the College all past due amounts/service charges and any associated collection agency fees up to a maximum of 30% of the account
balance, reasonable attorneys’ fees, cost and expenses incurred by the College in its collection efforts. I agree to give CFK and its agent’s permission to contact me on my home or mobile phone, email address, and mailing
address. By signing below, I am entering into a legal and binding contract with The College of the Florida Keys and I hereby acknowledge that I have read and understand the Terms and Conditions of this registration
agreement and Student Financial Responsibilities policy located in Student Catalog.
__________________________________________________________________________ __________
Student’s Signature Date
I understand that I may have additional fees applied to my account due to 3
rd
or 4
th
course attempt.
COMMENTS FOR OFFICE USE ONLY: _____________________________________________________________________________________________________________
A
(Add)
or D
(Drop)
Course
Prefix
Course
Number
CRN
Semester
Hours
Title
Days
Time
Advisor’s
Initials
(See Staff
Instruction 2)
TOTAL: __________
__________________________________________________________________ __________ _______________________________________________________________ ___________
Advisor’s Signature Date Dean’s Signature (only if required) Date
Degree and certificate-seeking students need an advisor’s signature to register.
Staff Instruction 1: Audit for RE or OD students only; not permitted for Veterans under Vets
programs.
Staff Instruction 2: Advisor initials are needed to override conditions such as test scores, prerequisites, corequisites
and repeat attempts.
click to sign
signature
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signature
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signature
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