WFD&CE Course Registration Form

Thank you for your registration!

Please enter your information and the course(s) you are registering for below and we'll contact you shortly.

Please don't fill out this input box.

Name*

Mailing Address*

City, State, Zip*

County of Residence*

Phone*

E-Mail*

Date of Birth*Please use MM/DD/YYYY format.

Gender

Ethnicity+*+ SUNY Schenectady is required pursuant to Section 806B of Regulation (45 CFR 80) to furnish the information requested to the U.S. Department of Education under Title VI, Civil Rights Act of 1964. This information will be used for statistical purposes only.

Race*

U.S. Citizen

Yes

Goal*

Last college attended prior to SUNY Schenectady?

Year(s) Attended

Please select this button if above information has changed since your last registration.

Information has changed

Choose Term

Course 1: CRN# | Section# (if applicable)*Please include both pieces of course information, if applicable

Course 2: CRN# | Section# (if applicable)Please include both pieces of course information, if applicable

Course 3: CRN# | Section# (if applicable)Please include both pieces of course information, if applicable

Course 4: CRN# | Section# (if applicable)Please include both pieces of course information, if applicable

Photo Release

I agree

I do not agree

Photo release: I hereby consent to the use of photographs/video taken during the course for publicity, promotional and/or educational purposes. I do this with full knowledge and consent and waive all claims for compensation for use, or for damages.

I have read and understand the Withdrawal/Cancellation policy.*

Yes

Withdrawal/Cancellation Policy can be found: https://sunysccc.edu/About-Us/Workforce-Development-and-Community-Education/WFD-CE-Course-Registration/