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Continuing Education Registration

Please complete the form below. Required fields marked *

On-Line registration must be completed three (3) days prior to the scheduled start date of the class.

(if known)

Mailing Address

State*

Physical Address

Same as Mailing Address?*
State

You must enter an EMAIL, HOME PHONE, or CELL PHONE. (All are preferred)

Ex.999999999 

Gender 
Highest Level of Education
Ethnicity 
Race 
Employment Status
Citizenship
Head of Household
Disadvantaged

EMERGENCY SERVICE PERSONNEL ONLY

Paid or Volunteer 
State or Local County/City Agency 

MOTORCYCLE SAFETY COURSE ONLY

If you are under 18 years of age, DO NOT register on-line.  You must register at McDowell Technical Community College with a parent present

Do you possess a valid Driver’s License 

Upload a copy of your Driver’s License

You can simply use your smart phone to take a photo and upload the picture of your driver’s license

DEFENSIVE DRIVING COURSES ONLY

Please Note:  All Defensive Driving Courses are self-supporting classes and the registration fee is non-refundable.  Refunds are made only if the class does not make.  Students that do not show up for the class on the date they are registered will need to complete the registration process again (including registration fee) for the next available class. 

By completing the remainder of the form and signing at the end, I acknowledge that I understand all the information above.

Do you possess a valid Driver’s License?

Upload a copy of your Driver’s License

You can simply use your smart phone to take a photo and upload the picture of your driver’s license.

Upload a copy of your citation

You can simply use your smart phone to take a photo and upload the picture of your citation
 
Upload a copy of the District Attorney permission form if applicable
If you had to have permission from the DA to take this course, you can use your smart phone to take a photo and upload the picture of the permission form
 

COSMETOLOGY, ESTHETICS, PHLEBOTOMY, HEALTHCARE BILLING & CODING ONLY

Upload a copy of High school Diploma/Transcripts or GED
 

Certification of Accuracy

By submitting this online registration form, I certify to the best of my knowledge that the information given is true and complete. Further, I understand and agree that my electronic signature is the legal equivalent of my manual signature.

I certify to the best of my knowledge that the information given is true and complete. Further, I understand that by submitting this information via electronic transmission that I acknowledge the following: I do not have any outstanding balances with McDowell Technical Community College. I understand that I cannot register into a class that meets at the same time of another MTCC class for which I am registered. I understand that if I falsify any information on the demographics information above, or on any future registration forms, my certification will be eliminated. I understand and agree that my electronic signature is the legal equivalent of my manual signature. Permission is granted to release appropriate course information to certifying agencies.

(First Name, Middle Initial, Last Name)

Acknowledgement*

Once you submit this form, someone from the Continuing Education and Workforce Development Department will contact you for further instructions. 

Thank you for Registering for classes at McDowell Technical Community College.  We are delighted to serve you.