Quincy College

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Quincy College Registration Form Quincy College Use: ID # ___________________________ Non-Matriculating (Non-Degree/Certificate Seeking) Students Only Returning Quincy College students: You may also register online at www.quincycollege.edu Student ______________________________________________________________________________________________________________________________ Information First Name Middle Name Date ___________________________ For Quincy Campus: Quincy College Admissions Office 1250 Hancock Street Quincy Center, MA 02169 phone: 617-984-1710 800-698-1700 fax: 617-984-1794 www.quincycollege.edu For Plymouth Campus: Quincy College Admissions Office 36 Cordage Park Circle Suite #228 Plymouth, MA 02360 phone: 508-747-0400 fax: 508-747-8169 www.quincycollege.edu ___________________________________________________________________________ ___________________________________________________ Last Name Social Security Number Permanent ______________________________________________________________________________________________________________________________ Mailing Number Street/PO Box Apartment Number Address ______________________________________________________________________________________________________________________________ Contact Information ______________________________________________________________________________________________________________________________ City State Zip Country ______________________________________________________________________________________________________________________________ E-mail (_________)_______________________________________________(_________)___________________________________________________________ Home Phone Cell Phone (_________)____________________________________________________________________________________________________________________ Emergency Contact Phone Name and Relationship to Student May we send text messages about Quincy College to your cell phone? r Yes r No Demographic _______/_______/_______ (Month/Day/Year) Gender: r Male r Female Information Date of Birth _________________________________________________________________________________ GED: r Yes High School Name Study Plan at Quincy College: r Enrichment r Work Related r Transfer If not a US citizen, you must submit a copy of a valid I-20 or green card. Country of citizenship ____________________________________________________________________________________________________________ Ethnic Group Are you of Hispanic or Latino descent? r Yes r No (optional) What is your race? Please check all that apply. r White r Native Hawaiian or other Pacific Islander r Black or African American r American Indian or Alaska Native r Asian r Other, please specify: _____________________________________ Course Course # Course Title Day(s) Time Tuition Information _____________________ ________________________________________________________ _____________________ _____________________ _____________________ _____________________ ________________________________________________________ _____________________ ________________________________________________________ _____________________ ________________________________________________________ _____________________ ________________________________________________________ _____________________ ________________________________________________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ # Course Pricing (see tuition information) Cost $ _________________________________ Registration Fee ($25.00) Please note there is a $25 drop fee per course. Student ID (first time students only, $25.00) rCheck r Visa rAmerican Express r MasterCard r Discover $ _________________________________ $ _________________________________ Payment Enrollment staff Information Total $ _________________________________ cut here ---------------------------------------------------------------------------------------------------------------------------------- Charge Card __________________________________________________________________________________________________________________________________________ Authorization Card Number Expiration Date ______________________________________________________________________________________________________________________________ CVV2 (Card Verification Value 2 — the 3 or 4 digit number on the back of the card) ______________________________________________________________________________________________________________________________ Name on Card 20 ______________________________________________________________________________________________________________________________ Signature Quincy College • Focused on Teaching & Learning, One Student at a Time
Register for Classes Online All students must meet with an advisor prior to registering online. All returning financial aid students must register for classes online. - Masaki Ando Major: Business Transfer Alumnus 1. Log into the QC Portal. 2. Select the Student Tab. 3. Select “Online Registration”. 4. If you know your Course Section Number, click “Add/Drop Courses” otherwise click “Course Search”. (and jump to #6 on this list) 5. Enter the Course Section Number. (For example: HIS 111 81) 6. If you do not know your Course Section Number, click “Course Search”. 7. Choose a Department (for example: History) and on the Section Status choose “Open”. Click “Search”. 8. Click the Check box under Add then click “Add Courses”. 9. You will receive a message that the course has been added successfully. 10. If you do not follow these steps, you will be automatically dropped from all your courses. 11. Once you have registered for all your course(s), it is extremely important that you click the “Pay Must Pay Courses” button. 12. Click “Pay Must Pay Courses”. 13. Select “Pay Now”. 14. Select “Credit Card”. 15. Complete the form then click “Continue”. 16. You have completed online registration. __________________________________ Download PDF Instructions Students can download the “How to register online” PDF document with screen-shot directions on the QC Portal. Once you log into the QC Portal, click the Student Tab, then click on “Online Registration” (on the left hand side), and under “Download Instructions” click on the document named “How to register online”.
Page 1 and 2: Quincy College Plymouth, Quincy & O
Page 3 and 4: Quincy College Summer 2012 Academic
Page 5 and 6: Admissions, Advising, and Enrollmen
Page 7 and 8: Military & Veterans Programs Quincy
Page 9 and 10: Session 1 — 5 Weeks (continued) Q
Page 11 and 12: Session 2 — 5 Weeks Quincy Campus
Page 13 and 14: Session 2 — 10 Days Quincy Campus
Page 15 and 16: Presidents Place The Quincy College
Page 17 and 18: Quincy College Admissions Applicati
Page 19: Quincy College Registration Form Qu
Page 23 and 24: Course Descriptions ACC 101 Account
Page 25 and 26: Course Descriptions CHE 132 General
Page 27 and 28: Course Descriptions ENG 202 English
Page 29 and 30: Course Descriptions MAT 207 Statist
Page 31 and 32: Jen Tinsley Major: Exercise Science
Page 33 and 34: Financial Aid, Refunds, and Deposit
Page 35 and 36: Military & Veterans Programs Quincy

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