Non-Degree-Seeking Registration

Select semester you are registering for
Enter Social Security Number
Address1
City
State
Zip
Enter Full name and phone number of emergency contact
Enter your gender
Enter your ethnicity
Ex. Essex, Franklin
Enter High School Name
Graduation Year
Have you ever enrolled for credit courses at NCCC?
Have you ever been dismissed from a college for disciplinary reasons?
Have you ever attended another college?
Select country of residence
Country of residence
For the next section, please enter Dept Code, Course Number, Section Letter, Days, Times, Building/Room and Credits (separated by a comma). Enter one line for each course you want to take.

Each entry for a course should look something like this:

ENG, 102, T, MW, 8am-9am, DL, 3
MAT, 105, T, MW, 10am-11am, DL, 3
SOC, 101, T, F, 9am-12pm, TI-102, 3
Enter course information here
Enter the total amount of credits registered for
Payment Method
If online payment or check-by-mail is chosen, you will receive an e-mail with instructions on how to proceed after submitting request.
Verification
I understand, that by signing this registration form, I am formally registered for the above indicated semester and have incurred a financial obligation to pay for these courses unless I formally drop the courses in writing prior to the start of the semester. I understand I will need to obtain a Certificate of Residence from my home County Treasurer’s Office within 30 days of the start of classes to receive In State Tuition.
Enter your full name - Parent/guardian signature if registrant is under 18 years of age.
Enter today's Date