Workforce Development Course Registration Form - Niagara County Community College

Name * Required
First Middle Last
Address * Required
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone * Required
Email * Required
Date of Birth * Required
MM slash DD slash YYYY
Gender * Required
- Male
- Female
- X
Is this course/program being funded by an Agency? * Required
- Yes
- No
What is the agency name? * Required
Choose a Course from the drop down menu. (If Course is not listed, select other) * Required
If course selection is other, please enter course name here. * Required
For Driver Ed. Registrations ONLY - Driver's License/Learner Permit Number (nine digits): * Required
Course Date * Required
How did you hear about this class? * Required
How will you be attending classes at Niagara County Community College? * Required
- On-Campus or Partially On-Campus
- Online or Off-Campus
COVID Vaccine/Booster and MMR Requirements

As an applicant to Niagara County Community College, you must provide the following information and understand the requirements for MMR/ Meningitis and Covid – 19.
Covid – 19 Information * Required
I have read and understand the Covid – 19 requirements as an online and on campus student at Niagara County Community College.
Covid – 19 Information

Per the SUNY COVID 19 Guidance, all students must be fully vaccinated to attend in-person courses. Fully vaccinated is defined as full doses of the COVID 19 vaccination. If you do not complete the vaccination process within 30 days of the semester start, your campus access may be denied until you come into compliance.
- I must provide proof that I have received the Covid vaccination to the Wellness Center at NCCC. (C-122 or call 716-614-6275)
- Providing proof of vaccination will allow me to register for any combination of face-to-face or online modalities of classes.
Important Information * Required
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 NCCC 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 * Required
I have read and agree to the following information.
NCCC WILL NEED FULL PAYMENT OF THE COURSE FEE TO RESERVE YOUR PLACE IN A COURSE.

Payment Options:
By PayPal – IF OPTION IS AVAILABLE

By Phone:
Please call (716) 614-6236. We accept Visa, MasterCard, and Discover.

By Mail:
Please mail check or money order payable to Niagara County Community College (NCCC), 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 Niagara County Community College (NCCC), Office of Workforce Development, Room A-231, 3111 Saunders Settlement Road, Sanborn, NY 14132.

NCCC 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

COVID Vaccine/Booster and MMR Requirements

Academic Adjustments and Accommodations

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