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Online Registration Request Form Sum3

PCCC Registration Request Form for Online Courses
Enrollment in classes is subject to availability and not guaranteed.
Important! This form should NOT be used to request information about online classes. Submission of this form will result in registration for all classes requested (if available) and financial responsibility for all relevant tuition and fees for those classes.

Fields followed by asterisks are required fields. 

Some online classes require one or more tests to be taken in an proctored in-person setting. The number  of asterisks (*) next to a course in the drop down menus below indicate the number of exams which must be taken in person.

Your Email Address *
Confirm Your E-mail Address *
Last 6 digits of SSN or student ID # *
First Name *
Last Name *
Date of Birth *
XX-XX-XXXX - Month-Day-Year
Semester *
Year *
Course 1 *
Hold the Ctrl key down to select more than one course.
Courses with an MHY1 designation are hybrid courses
Some courses are designated as Writing Intensive or OER
Street Address *
City *
State *
Zip *
Student Status *
Degree Status *
Have you taken the PCCC Basic Skills Test?


Please note: Submission of this form does not guarantee registration in the selected course. Confirmation of registration is usually sent out within 24 - 48 hours of submission, but may take longer during peak registration times.