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课程添加到候补名单表格

Student are not currently able to add themselves to a waitlist in SIS. Please fill out this form to be added to a waitlist. If there is a space available when the form is processed you will be added at that time.
学期*
- 秋天
- 春天
- 夏天
一年*
学生证#*
名字*
第一个中间最后的
项目主要
电子邮件地址*
输入电子邮件确认电子邮件
邮寄地址*
街道地址城市状态邮政编码
物理地址
街道地址城市状态邮政编码
家庭电话
手机*
- Check here if this is a change in address, phone, or e-mail.
Federal Governmental Statistical Information (Optional)
你认同的性别:
- 女
- 男性
你在军队服过役吗?
- 是的
- No
种族背景
- 西班牙裔或拉丁裔
- 不是西班牙裔或拉丁裔
Please specify your ethnicity (categories from Federal IPEDS):
- American 印度n or 阿拉斯加 Native (A person having origins in any of the original peoples of North and South America (包括 Central America) who maintains cultural identification through tribal affiliation or community attachment.)
- Asian (A person having origins in any of the original peoples of the Far East, 东南亚, 或者印度次大陆, 包括, 例如, 柬埔寨, 中国, 印度, 日本, 韩国, 马来西亚, 巴基斯坦, 菲律宾群岛, 泰国, 和越南.)
- Black or African American (A person having origins in any of the black racial groups of Africa.)
- 西班牙裔/拉丁裔(古巴人, 墨西哥, 波多黎各, 南美洲或中美洲, 或其他西班牙文化或血统.)
- Native 夏威夷an or Other Pacific Islander (A person having origins in any of the original peoples of 夏威夷, 关岛, 萨摩亚, 或其他太平洋岛屿.)
- White (A person having origins in any of the original peoples of Europe, 中东, 或者北非.)
- 两个或两个以上的种族
- 种族未知
Choose the option that best describes your citizenship:
- 美国公民
- Nonresident alien (A person who is not a citizen or national of the United 状态s and who is in this country on a visa or temporary basis and does not have the right to remain indefinitely. A person who is not a citizen or national of the United 状态s but who has been admitted as a legal immigrant for the purpose of obtaining permanent resident alien status (and who holds either an alien registration card (Form I-551 or I-151), a Temporary Resident Card (Form I-688), or an Arrival-Departure Record (Form I-94) with a notation that conveys legal immigrant status such as Section 207 Refugee, 第208节庇护, Conditional Entrant Parolee or Cuban-Haitian).)
SS#的最后4个*
Please note: If your full SSN is not in our database, we will call you for that information. 永远不要用电子邮件发送你完整的社会安全号. Only share your information when you are able to confirm it is RVCC requesting it.
出生日期
MM / DD / YYYY
You can click on the plus sign in the circle to be added to the waitlist for multiple courses. If the course has separate lecture and lab components, please remember to list both CRNs. Please fill out each field of course information. If information is missing, we will be unable to add you to the waitlist.
*
CRN # 课程数量 SECTION 科目名称位置学分
总学分
Before you submit this form, please read the following notice: I certify that I reside at the address provided above. I have met any prerequisite and/or corequisite courses that may be required for any of the above courses. (Attach transcript or grade report if prerequisite/corequisite courses were taken off-campus.) (See back of this form if registration waivers are necessary.) I accept responsibility for the selection of and payment for the courses as indicated above. I have read and understand the Refund/Withdrawal Policy. 注意: I understand that I must fulfill my financial obligation two weeks before the start of the semester, or my registration will be voided and my classes deleted. (请参阅下面的付款方式.) I agree that by registering for courses within the Community College System of 新汉普郡 (CCSNH), I am financially obligated for ALL costs related to the registered course(s). 在滴下或抽出时, I agree that I will be responsible for all charges as noted in the student catalog and handbook. I further understand that if I do not make payment in full, my account may be reported to the credit bureau and/or turned over to an outside collection agency. I also agree to pay for the fees of any collection agency, which may be based on a percentage of the debt up to a maximum of 35%, and all additional costs and expenses, 包括任何拒付支票的费用, court filing costs and reasonable attorney’s fees, which will add significant costs to my account balance. (有效的4-1-14)
如果被录取, for courses with a duration of more than 2-weeks and less than 15-weeks I understand that I have 一个星期 from the first day of the course’s term to receive a full refund by dropping via SIS. I will regularly check my SIS account for registration status and payment balance information.
学生签名*
日期*
MM / DD / YYYY
隐藏的
无标题的
隐藏的
无标题的
电子邮件
This field is for validation purposes and should be left unchanged.

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