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CONTINUING EDUCATION REGISTRATION
PLEASE CHECK THE COLLEGE YOU PLAN TO ATTEND
Brookhaven College
Cedar Valley College
Easteld College
El Centro College
Mountain View Colle
ge
North Lake College Richland Colle
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HOW DID YOU HEAR ABOUT US
Website F
riend/Family
Social Media Magazine
Catalog Student/Employee Advertisement Other
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Student Information For new students, additional information may be required.
New Student Existing Student Gender:
Male
Female
DCCCD Student I.D. Number:
Ethnicity information is used to meet Texas State reporting requirements and providing this information is voluntary on your part.
White, Non-Hispanic Black, Non-Hispanic International/Non-Immigrant No Response
Hispanic Asian/Pacic Islander American Indian/Alaskan Native Other
Last Name First Name MI
Address City State Zip
Primary Phone Email Address Date of Birth
I verify that the above information is accurate. Signature Date
Course Information
TERM COURSE TITLE RUBRIC COURSE # SECTION # FEE
Fall 2017 Microsoft Excel I TSW 1022 44020 $150
PAYMENT INFORMATION
Payment will be made at the college business oice. Cash, Check, and Credit/Debit Cards are accepted.
REFUND POLICY A refund of 100% will be made if requested prior to the rst scheduled meeting day. Your request for a refund
must be made during business hours prior to the rst day to qualify for a 100% refund. A refund of 80% is allowed before the close
of business on the day of the second class meeting. No refund is allowed aer the second class meeting. Should the college cancel
the class a 100% refund will be issued. Refunds may take up to four weeks to process.
The Colleges of the Dallas Community College District reserve the right to make changes that may include, but are not limited to, the
days and times courses are oered, classroom location, instructors who teach the course, and cancellation of courses. If you have
questions regarding refund policy, refer to www.dcccd.edu/cerefunds.
Certain Continuing Education courses have entrance requirements that the student must meet prior to registration. Consult College for details.
