Non-mat Registration | Columbia-Greene Community College

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Non-Matriculated Registration Form

Step 1 of 3

Schedule

Name(Required)

First Middle Last

Birthdate

Legal Sex

Gender Identity

Is English your native language?

What is the primary language spoken at home?

Please indicate your current citizenship status:(Required)

Are you Hispanic/Latino?(Required)

Yes

You indicated you are Hispanic/Latino, please select one option below:

Other

Email(Required)

Preferred Phone Number, Including Area Code:(Required)

Is this a cell phone?

Yes

Street Address Address Line 2 City State / Province / Region

Zip Code

County

Does your Permanent residence address differ from your mailing address?

Permanent Residence

Street Address Address Line 2 City State / Province / Region

Zip Code

County

Select the high school you last attended from the drop-down list:

If you selected other - high school not listed, please enter the name of the high school you last attended:(Required)

City/Town(Required)

County(Required)

Did you graduate from High School?

When did you graduate?

Have you taken college courses AFTER High School graduation?

Please enter the most recently attended college and the city/state where it is located:

Did you receive your GED?

Have you taken college courses AFTER receiving your GED?

Please enter the most recently attended college and the city/state where it is located:(Required)