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Registration for Industry

Please complete the form below. Required fields marked with an asterisk *
On-Line registration must be completed three (3) days prior to the scheduled start date of the class.

Course Title *

Begin Date/Time *

End Date/Time (if known)

First Name *

Middle Name

Last Name *

Street Address *

City *

State *

Zip/Postal *

County of Residence *

State of Residence *

Phone Number *

Email Address *

Date of Birth *

Social Security Number *

Gender

Highest Level of Education *

High School Last Attended *

Month and Year last attended high school *

Ethnicity

Race

Employment Status *

Citizenship *

Head of Household *

Disadvantaged *

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.

Electronic Signature * (First Name, Middle Name, Last Name)

Acknowledgement *

I acknowledge that the above type name is my siganture.

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.

Continuing Education & Workforce Development

Eddie Shuford

Registration for Industry

Please complete the form below. Required fields marked with an asterisk *
On-Line registration must be completed three (3) days prior to the scheduled start date of the class.

call: 828-652-6021

©2024 McDowell Technical Community College. All rights reserved.

Continuing Education & Workforce Development

Eddie Shuford

Registration for Industry

Please complete the form below. Required fields marked with an asterisk * On-Line registration must be completed three (3) days prior to the scheduled start date of the class.

call: 828-652-6021

©2024 McDowell Technical Community College. All rights reserved.

Please complete the form below. Required fields marked with an asterisk *
On-Line registration must be completed three (3) days prior to the scheduled start date of the class.