Southeastern Community College   REGISTRATION FORM  

SOC. SEC. NO.______/____/_____

NAME________________________________            (Last)    (First)         (Middle and/or Maiden)

                                                          
CURRICULUM CODE__________        ___SPRING    ___SUM  ___FALL   YEAR___
 

HOME PHONE______________________

WORK HOME______________________

  (Please mark an appropriate response in each of the following categories)  

SHORT TERM GOAL	EMPLOYMENT STATUS
(  ) Prepare for transfer to a four year college/university (1)	(  ) Retired (1)
(  ) Gain skills necessary to enter new occupation (2)	(  ) Not seeking employment (2)
(  ) Gain skills necessary to retain, remain in current occupation (3)	(  ) Seeking employment (3)
(  ) Satisfy personal objective (4)	(  ) Employed 1 - 10 hours per week (4)
(  ) Improve basic reading, writing or math skills (5)	(  ) Employed 11- 20 hours per week (5)
	(  ) Employed 21- 39 hours per week (6)
	(  ) Employed 40 or more hours per week (7)

    

NOTE:

Check with your advisor to review course prerequisites, corequisites and equivalents before registering for any courses.

 

EXAMPLE:        ACC	121	01	MWF	1:00 p.m.	1:50 p.m.	4
COURSE ABBREV.	COURSE NUMBER	COURSE SECTION	DAYS	BEGINNING	ENDING	CREDITS

 
 

STUDENT'S SIGNATURE _________________________________________

DATE________________

 
 

ADVISOR'S SIGNATURE _________________________________________

DATE________________

  Submit to Registrar's Office