One College Drive
Calais, ME 04619
Enrollment & Student Services 207-454-1013
Instate: 800-210-6932
Fax: 207-454-1018
Non-Discrimination Policy
: Washington County Community College is an equal opportunity/affirmative action institution and
employer. For more information; please call Tatiana Osmond, Affirmative Action Officer, at 454-1094.
RE – Form Current Student Registration
Revised: July 8, 2019; amd
Current Student Registration Form
Last Name: ___________________________________ First Name: __________________________________ M.I.: _____________
Mailing Address: _______________________________________ City: ______________________ State: _________ Zip: ________
Phone Number: ___________________________________ Mobile Phone Number: ________________________________________
Cell phone carrier: US Cellular Verizon AT & T Tracfone Other __________ Text Updates: ___Yes ___No
Student ID #: _____________________________ Email address: ______________________________________________________
Program of Study: ____________________________________________________________________________________________
Semester registering for (please check semester): □Fall □Spring □Summer Year 20_____
Please note: It is the student’s responsibility to ensure they are taking the appropriate courses for degree progress.
No substitutions will be accepted without documentation from the Coordinator of Enrollment.
Submit completed form to Donna Geel.
Student Signature: _______________________________________________________________________Date:________________
Advisor Signature: _______________________________________________________________________Date:________________
