Non-Degree Seeking Application

For which semester are you seeking non-degree enrollment?

In which course(s) are you seeking to enroll? (Please check all that apply) * Chemistry I
Chemistry II
Statistics
Medical Terminology Online

(All non-degree courses are only offered on the Danville campus, with the exception of medical terminology online.)

Please indicate your ethnicity: (Please check all that apply)* American Indian or Alaskan Native
Asian
Black/African American
Hispanic/Latino
Native Hawaiian or Other Pacific Islander
Non-resident Alien
Race & Ethnicity Unknown
White

I hereby certify that to the best of my knowledge the information furnished in this application is true and complete. I understand that if found to be otherwise, it is sufficient cause for rejection or dismissal. I also understand that in signing this application that I will adhere to the College's Non-Discrimination Policy and acknowledge that I have read and understand the Core Performance Standards and Other Considerations for All Applicants, as outlined in the college catalog.