Workforce Development Course Registration Form

Name *

First Middle Last

Address *

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone *

Email *

Date of Birth *

Gender *

Male
Female
X

Are you now or have you ever been enrolled in other SUNY Niagara classes? *

Yes
No

If so, what name did you enroll under?

First Last

Is this course/program being funded by an Agency? *

Yes
No

What is the agency name? *

Choose a Course from the drop down menu. (If Course is not listed, select other) *

If course selection is other, please enter course name here. *

If using PayPal for payment and someone other than yourself is paying for you, please list the cardholders first and last name:

For Driver Ed. Registrations ONLY - Driver's License/Learner Permit Number (nine digits): *

Course Date (If the course is online with no set date, please write "Online") *

How did you hear about this class? *

HOW WILL YOU BE ATTENDING CLASSES AT SUNY NIAGARA? *

On-Campus or Partially On-Campus
Online or Off-Campus

Important Information *

I have read and understand the important information above.

Important Information

New students will not be restricted from registering for in-person courses.

The Wellness Center will provide updates of the SUNY Niagara and SUNY Guidelines.

You will receive notification the week before the semester begins if you are not in compliance.

If not in compliance within 30 days after the semester begins, you may be deregistered and will incur the full cost of the semester.

Consent *

I have read and agree to the following information.

SUNY Niagara WILL NEED FULL PAYMENT OF THE COURSE FEE TO RESERVE YOUR PLACE IN A COURSE.

Payment Options:
ByFareHarbor 鈥� IF OPTION IS AVAILABLE (FareHarbor Link is on course webpage if option is available).

By PayPal 鈥� IF OPTION IS AVAILABLE (PayPal Link is on course webpage if option is available).

By Mail:
Please mail check or money order payable to SUNY Niagara, Office of Workforce Development, Room A-231, 3111 Saunders Settlement Road, Sanborn, NY 14132. Be sure to include the name of the registrant and the course you are registering for.

In-Person:
Please stop by SUNY Niagara, Office of Workforce Development, Room A-231, 3111 Saunders Settlement Road, Sanborn, NY 14132.

SUNY Niagara RESERVES THE RIGHT TO POSTPONE OR CANCEL COURSES DUE TO INSUFFICIENT ENROLLMENT.

VIEW WORKFORCE DEVELOPMENT REFUND POLICY.

Academic Adjustments and Accommodations

If you are in need of academic adjustments or accommodations for this course, please contact Accessibility Services by phone (716) 614-6728, e-mail access@niagaracc.suny.edu, or in-person Room A-167 at the Sanborn Campus.

Workforce Development

Workforce Development Course Registration

Academic Adjustments and Accommodations

Contact

ABOUT

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Careers

Community

Resources

性乐园

Workforce Development

Workforce Development Course Registration

Academic Adjustments and Accommodations

Contact

ABOUT

College Hours

Careers

Community

Resources