Customclass Registration Form printable pdf download

CustomClass

The Noncredit Way to Take a “Credit” Class

Are there courses in HCC’s Credit Schedule of Classes you’d like to take, without

having to worry about grades, exams, prerequisites, placement tests, and degrees?

CustomClass is your answer.

You can attend

cardiovascular technology (CARD), radiologic technology

classes listed in the Credit Schedule (up to the equivalent

(RADT), and emergency medical services (EMSP). Other

new health care programs may not be eligible. You must be

of eight credits each term), and get the knowledge you

want, purely for fun and learning, minus grades, tests and

age 16 or above.

prerequisites. You won’t get college credit but some courses

For more information,

call Arnette Haywood at

qualify for CEUs and a certificate.

443-518-4659 or email ahaywood@howardcc.edu.

Cost savings, too:

You only pay the credit in-county

To register

, fax this form and credit card information

tuition rate and course fees but not the consolidated fee. Out-

to 443-518-4333, or mail with payment to Howard Community

of-county pay an additional $10 per course and out-of-state,

College, 10901 Little Patuxent Parkway, Columbia, MD 21044-

$20 per course.

3197, Attn: Lock Box, Cashier’s Office, RCF-203, or bring form

Lots of choices!

to Registration Office, RCF-233, 8:45 a.m.-7 p.m. Monday-

You can take up to the equivalent of

nine credits each term and choose any credit classes except

Thursday, 8:45 a.m.-5 p.m. Friday. (Web registration not

ARTT-221 (Museum Field Trips), nursing (NURS listings),

available.

CustomClass

Registration Form

PLEASE PRINT NEATLY

HCC Student ID# ______________________________________________________________



I am an HCC full-time employee or dependent.

Name

Last

First

M.I.

Address

Street Number and Name

Apt./Unit

City

State

Zip

County



I have lived at this address for at least three months.

Date of Birth:______/______/______

I am over the age of 16.



Home Phone

TDD

GENDER:

Male

Female

Cell Phone

Are you of Hispanic or Latino origin? Yes___ No___

Business Phone

What is your race? Select one or more of the following categories:

___American Indian or Alaska Native

___Asian

___Black or African American

E-Mail Address

___Native Hawaiian or Other Pacific Islander

___White



For race definitions, visit

Phone number(s) new since last registration

See Tuition & Fees Table in Schedule



of Credit Classes for tuition rate.

I qualify for senior tuition waiver.

Course No.

Index No.

Year

Title

Term

Tuition + Fees Student

(Fall/Winter/

Type

SAMPLE

Spring/Summer)

ACCT-111

1002

SU/15

Principles of Accounting I

Summer

$348 + $25

__________________

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________

____________________________________________________

_________________

________________

_________

__________________

_____________

________

____________________________________________________

_________________

________________

_________

__________________

_____________

________

____________________________________________________

_________________

________________

_________

Out-of-county Maryland residents add $10;

Out-of-state residents add $20. Includes seniors. ________________

If your tuition is waived, pay only a $40

Students who register by mail or fax will receive an email registration

registration fee per course and other course fees, if any. ________________

confirmation (printed confirmations will no longer be mailed).

Seniors using tuition waiver pay $40 per



I don’t want to receive registration confirmation emails.

course registration fee and any course fees. ________________

TOTAL ________________

Signature______________________________________________________________________________________________________________

Date_____________________________

I certify that all of the above information is true and correct.

Please note that we do not accept registrations by email.

FOR FAX-IN OR MAIL-IN:

(circle one)

This form will not be processed if submitted by email.

Card#

Exp. Date

Cardholder’s Name (Please print legibly)

Signature

Fax this form with credit card information to 443-518-4333; or mail with payment to Howard Community College, 10901 Little Patuxent Parkway,

Columbia, MD 21044-3197, ATTN: Lock Box, Cashier's Office, RCF-203. Include address and phone number on check.

Customclass Registration Form

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