WFD&CE Course Registration Form

Thank you for your interest in SUNY Schenectady.

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Name*

Mailing Address*

City, State, Zip*

County of Residence*

Phone*

E-Mail*

Date of Birth*Please use MM/DD/YYYY format.

Gender

Ethnicity+*+ SUNY Schenectady is required pursuant to Section 806B of Regulation (45 CFR 80) to furnish the information requested to the U.S. Department of Education under Title VI, Civil Rights Act of 1964. This information will be used for statistical purposes only.

Race*

U.S. Citizen

Yes

Goal*

Last college attended prior to SUNY Schenectady?

Year(s) Attended

Please select this button if above information has changed since your last registration.

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Course 1: CRN# | Section# (if applicable)*Please include both pieces of course information, if applicable

Course 2: CRN# | Section# (if applicable)Please include both pieces of course information, if applicable

Course 3: CRN# | Section# (if applicable)Please include both pieces of course information, if applicable

Course 4: CRN# | Section# (if applicable)Please include both pieces of course information, if applicable

Photo Release

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Photo release: I hereby consent to the use of photographs/video taken during the course for publicity, promotional and/or educational purposes. I do this with full knowledge and consent and waive all claims for compensation for use, or for damages.

I have read and understand the Withdrawal/Cancellation policy.*

Yes

Withdrawal/Cancellation Policy can be found: https://sunysccc.edu/About-Us/Workforce-Development-and-Community-Education/WFD-CE-Course-Registration/

I am vaccinated against COVID-19, including booster, if applicable. *

Yes

With the FDA’s full approval of the Pfizer COVID vaccine on August 23, 2021, the State mandated all SUNY students to be vaccinated. This mandate includes workforce development and community education students. Unvaccinated students can not register for courses. Please send a clear image of your vaccination card or NYS Excelsior Pass to kotarymc@sunysccc.edu. The Withdrawal/Cancellation Policy can be found: https://sunysccc.edu/About-Us/Workforce-Development-and-Community-Education/WFD-CE-Course-Registration/ For the Fall 2022 semester, students must get their booster within 30 days of the timeline for the vaccination they received. For Moderna that is six months from their vaccination date, for Pfizer it is five months, and for Johnson and Johnson that is two months.