Dual Credit Registration

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COURSE SELECTION:

 SEMESTER  

CRN

COURSE#

COURSE TITLE

CRN

COURSE#

COURSE TITLE

ETHNIC IDENTITY (PLEASE CHECK ALL THAT APPLY)
  NON-HISPANIC
  HISPANIC

IF HISPANIC, CHECK ONE:
  DOMINICAN   PUERTO RICAN
  MEXICAN   CENTRAL AMERICAN
  SOUTH AMERICAN   OTHER HISPANIC/LATINO

RACE (ALL STUDENTS CHECK ONE OR MORE)
  WHITE   NATIVE HAWAIIAN/PACIFIC ISLANDER
  BLACK/AFRICAN-AMERICAN   AMERICAN INDIAN/ALASKAN NATIVE
  ASIAN

PRIMARY EDUCATIONAL OBJECTIVE (CHECK ONE)
  TRANSFER TO ANOTHER SUNY COLLEGE AFTER EARNING A DEGREE.
  TRANSFER TO A NON-SUNY COLLEGE AFTER EARNING A DEGREE.
  TRANSFER TO A SUNY COLLEGE WITHOUT EARNING A DEGREE.
  TRANSFER TO A NON-SUNY COLLEGE WITHOUT EARNING A DEGREE.
  EARN A DEGREE/CERTIFICATE AND SEEK EMPLOYMENT, RATHER THAN PURSUE FURTHER POST SECONDARY EDUCATION.
  LEARN NEW SKILLS OR UPGRADE EXISTING SKILLS WITHOUT EARNING A DEGREE.
  SEEK ENRICHMENT, RATHER THAN TO PURSUE A DEGREE/CERTIFICATE.
  OBTAIN A CERTIFICATE OF GENERAL EDUCATION DEVELOPMENT (GED) THROUGH THE ACCUMULATION OF COLLEGE CREDITS.
  UNCERTAIN, STUDENT HAS NOT YET DETERMINED HIS/HER GOAL AT THIS TIME

I CERTIFY THAT THE INFORMATION IS ACCURATE AND THAT I WISH TO REGISTER IN THE CLASS(ES) INDICATED.

(OFFICE USE ONLY):
MVCC STUDENT ID#  
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