Registration Form (Please print clearly)
________________________ ___________________________ _______________ _________________________________________
STUDENT ID FIRST NAME MIDDLE NAME LAST NAME
Phone: Home (______) ___________________________ Work (______) _____________________________Cell (______) _____________________________
Great Bay Community College
RESIDENCY (Student Must Check One) US Citizen or Permanent Resident who has lived in NH for the past 12 months (R)
US Citizen or Permanent Resident who has not lived in NH for the past 12 months (O)
International Student In Process—Under I797
FOR OFFICE USE
Term _______ Time _________
Staff _______ Date __________
Address: ___________________________________________________________City__________________________________State___________Zip ________
Email:_____________________________________________ Date of Birth ________/__________/______ *Social Security #:______________________________
Students will be issued a GBCC email address within 24 hours of course registration for credited courses.
*For compliance purposes, Great Bay Community College collects names and social security numbers from all students attending the college. For example, the Internal
Revenue Code requires the college to produce a 1098-T tax form. The college’s use of social security numbers will be limited to legitimate educational purposes. The
college will ensure the security of the student’s social security number and will not disclose it to anyone outside the college, except as authorized by federal or state
laws or applicable policies.
CRN # (10721) Course (ACCT 113) Section (HYA) Course Title/Description (ACCT & Financial Reporting I)
VETERAN STATUS: Vet using GI Bill
Male Dependent using GI Bill
U.S. Citizen: Yes No Disabled Vet using GI Bill
Ethnicity: Hispanic or Latino Not Hispanic or Latino
Race: American Indian/Alaska Native Asian Black/African American Native Hawaiian/Pacific Islander White
I understand if I do not successfully complete prerequisites for the above course(s), my registration for the above course(s) will be deleted.
Please Note -- You must fulfill your financial obligation before the beginning of the semester or you may be subject to a $50.00 service charge.
Financial Obligation Statement -- I agree that by registering for courses within the Community College System of New Hampshire (CCSNH), I am financially obligated for ALL costs related to the registered
course(s). Upon a drop or withdrawal, I agree that I will be responsible for all charges as noted in the student catalog and handbook. I further understand that if I do not make payment in full, my account may
be reported to the credit bureau and/or turned over to an outside collection agency. I also agree to pay for the fees of any collection agency, which may be based on a percentage of the debt up to a
maximum of 35%, and all additional costs and expenses, including any protested check fees, court filing costs and reasonable attorney’s fees, which will add significant costs to my account balance.
Automatic Award -- Upon completion of the program for which you applied, Great Bay may automatically award the credential you earned (i.e. Certificate or Degree).
TUITION REFUND POLICY Credit and Non-Credit Courses
All refunds require that the student complete an official withdrawal form. Students who officially withdraw from the college or an individual course by the end of the fourteenth (14th) calendar day of the
semester will receive a 100% refund of tuition, less nonrefundable fees. Students in classes that meet in a format shorter than the traditional semester (15-16 weeks) will have seven (7) calendar days from
the designated start of that semester, not class, to withdraw for a full refund. If the seventh (7th) or fourteenth (14th) calendar day falls on a weekend or holiday, the drop refund date will be the first business
day following the weekend or holiday. Exception: students in courses that meet for two weeks or fewer must drop by the end of the first day of the class in order to get a 100% refund. Students registered for
non-credit workshops/professional training must withdraw in writing at least three business days prior to the first session to receive a full refund of tuition and fees. Refunds take approximately four to six
weeks to be processed. If the college cancels a class, tuition and Academic Instruction fees will be refunded.
Great Bay Community College is part of the Community College of New Hampshire. Any transferrable coursework taken at a sister CCSNH institution may be applied to your program of study unless you
opt out. Transfer Credit Opt Out forms are available at the One Stop or online at http://greatbay.edu/courses/registration/booklets.
Student Signature _______________________________________Date______/_____/_____ Advisor Signature __________________________________Date______/_____/_____
Out of State Student
Federal Governmental Statistical Information (Optional):
College Services One Stop, 320 Corporate Drive, Portsmouth, NH 03801 Phone: 603-427-7610 FAX: 603-334-6308
The Community College System of New Hampshire (CCSNH) uses electronic signatures and records in place of traditional ones whenever possible. You will conduct business electronically with CCSNH using a computer with a supported operating
system and internet browser, sufficient electronic storage capacity, a printer and your official CCSNH email account. By logging into CCSNH systems, including but not limited to Banner SIS and Canvas, you are opting to conduct electronic transactions
with the Community College System and consenting to receive written notices electronically, including those involving financial obligations, and you are acknowledging that CCSNH can use electronic mechanisms alone to convey critical information
related to your admission, financial aid, payment plan, student account, transcript information, registration and other activities and accounts you may undertake or have as a student at CCSNH. You have a right to request a paper copy of an electronic
record. You may withdraw your consent at any time by contacting Student Services. If you decide to withdraw your consent, however, you may be prevented from registering for classes.
GBCC offers two convenient ways to pay online through the
Tuition and fees are subject to change without notice
Student Information System (SIS) http://www.greatbay.edu/sis :
1.Pay Online using a one-time payment
If you need assistance please contact the Business Office at GBCCBusinessOffice@ccsnh.edu
2. Pay Online by utilizing the Installment Payment Plan
• Students may also utilize financial aid. Please make sure that you complete
Registrations will NOT be processed if you have an outstanding obligation to CCSNH
your 2020-2021 FAFSA by going to fafsa.gov.
• If your tuition is being paid by an employer or a third party agency, please ensure that an
authorization letter is forwarded to the Bursar's Office.
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