54 EXPRESS REGISTRATION For info, visit sunywcc.edu/wdce PHONE 914-606-6830, Press 1 MasterCard, Visa, or Discover ONLINE www.sunywcc.edu/MyWCC MasterCard, Visa, or Discover MAIL WDCE SUNY Westchester Community College 75 Grasslands Rd. Valhalla, NY 10595 MasterCard, Visa, or Discover or Check/Money Order payable to SUNY Westchester Community College CUSTOMER INFORMATION Refunds For requests received at least 2 business days prior to the start of the class: 100% refund. There are no refunds after that time. The $5 registration fee is non-refundable. All refund requests must be made to the college in writing or emailed to firstname.lastname@example.org. Most refunds are made by check; allow 4-6 weeks to be processed. If you registered online, your refund is immediately credited back to your credit card. Returned Check Fee The charge for a returned check is $25. ETHNICITY A variety of government agencies require that institutions of higher education report student enrollments by ethnic status. The information requested below will assist us in meeting this requirement. Please check the appropriate boxes. (Response is optional and does not affect your admission in any way.) Are you Hispanic/Latino? ☐ Yes ☐ No If Hispanic/Latino, please indicate which of the following would best describe your background? (select one) ☐ Cuban ☐ Dominican ☐ Mexican ☐ Puerto Rican ☐ Other Hispanic/Latino Please indicate your race (select one or more) ☐ American Indian or Alaskan Native ☐ Asian ☐ Black or African American ☐ Native Hawaiian or other Pacific Islander ☐ White SUNY Westchester Community College adheres to the policy that no person on the basis of race, color, creed, national origin, age, gender, sexual orientation or handicap is excluded from, or is subject to discrimination in any program or activity. SUNY Westchester Community College is an equal opportunity, affirmative action employer. UNLESS OTHERWISE NOTED, NON-CREDIT CLASSES IN THIS BROCHURE ARE INTENDED FOR ADULT STUDENTS (18+) ONLY. Student ID (if available) |—|—|—|—|—|—|—|—|—| * Required * Date of Birth |—|—|—|—|—|—| * Last Name |—|—|—|—|—|—|—|—|—|—|—|—|—|—|—|—| * First Name |—|—|—|—|—|—|—|—|—|—|—|—|—|—|—|—| * Address |—|—|—|—|—|—|—|—|—|—|—|—|—|—|—|—| Apt # |—|—|—|—|—|—|—|—|—|—|—|—|—|—|—|—| * City |—|—|—|—|—|—|—|—|—|—|—|—|—|—|—|—| * State |—|—| Zip |—|—|—|—|—| * Home Phone ( —|—|— )—|—|—|—|—|—|—|—|—| * Cell Phone ( —|—|— )—|—|—|—|—|—|—|—|—| * Business Phone ( —|—|— )—|—|—|—|—|—|—|—|—| * Email Address ——————————— Have you ever taken a class at SUNY WCC before? Yes No If yes, was it credit noncredit Enclosed is my check, payable to SUNY Westchester Community College OR Charge to my Visa MasterCard Discover Card No. |—|—|—|—|—|—|—|—|—|—|—|—|—|—|—|—| Exp Date ——— Approval Code No. (from back of card) ——— Signature ———————————— CATALOG NUMBER SECTION CLASS NUMBER COURSE TITLE START DATE TUITION * Payable once each semester for non-credit courses. This fee is $4.75 for non-credit courses held at the Valhalla campus (materials fees are payable to the instructor at the first class) ** Required non-refundable fee; payable once each semester for non-credit students. *STUDENT FEE SEE NOTE TO LEFT **REGISTRATION FEE TOTAL ENCLOSED 0 0 0 0 0 0 0 0 0 M M D D Y Y This form can be used for most courses. Some class categories may contain specific registration information, such as English as a Second Language (page 51) and Peekskill Extension Center courses (page 14 and others).