Instructions:

1.  Complete the About You, Residency and Course Selection tabs. An * indicates a required field.
2.  Click Add to Registration on the Course Selection tab for each course you’ve selected.
3.  If there are any prerequisites for the course(s), attach an unofficial transcript showing that you’ve taken the prerequisite(s).

NOTE: By completing this online submission, you are requesting permission to register for a course at CCCC. You are not registered for the selected course(s) until you receive an email from the Office of the Registrar confirming that you are successfully enrolled in the requested course(s). Guest students do not qualify for financial aid/free college.

CCCC Student ID# (if known)

Are you seeking a degree at CCCC?  Note: If yes, do not proceed. Please apply to CCCC or contact advising if you’ve already been accepted. Guest Students do not qualify for financial aid/free tuition.

Last Name:

Legal/First Name:

Middle Name:

Preferred First Name:

Social Security Number (required for 1098 tax purposes):

Date of Birth:

Street/Home/Postal Address:

City:

State:

Zip Code:

Primary Phone Number:

Primary Phone Number Type?

Alternative Phone Number:

Alt Phone Number Type?

Personal Email Address:

Sex at Birth:

Gender Identity:

Preferred Pronoun:

Are you a Veteran?

Do you consider yourself Hispanic or Latino?

Select one or more of the following groups of which you identify as a member:

MASSACHUSETTS PUBLIC HIGHER EDUCATION INSTITUTIONS IN-STATE ELIGIBILITY FORM

Are you a US Citizen?

If you are not a U.S. Citizen, please state your immigration status in detail:

Please check the in-state or reduced tuition eligibility category that applies to you:

I have been a Massachusetts resident for six(6) continuous months and intend to remain here.

As proof of my intent to remain in Massachusetts, I possess at least 2 of the following documents, which I shall present to the institution upon request.  These documents are dated within one (1) year of the start date of the academic semester for which I seek to enroll (except possibly for my high school diploma).  The institution reserves the right to make additional inquires regarding the applicants status and to require submission of any additional documentation it deems necessary.

Please check-off all documents you possess as proof of your intent to remain in Massachusetts.

I am an eligible participant in the New England Board of Higher Education's Regional Student Program.

I am a member of the armed forces (or spouse or unemancipated child) on active duty in Massachusetts.

If you are a permanent resident, please upload a copy of your permanent resident card:

Certification:

What term would you like to register for:

Please select the courses you would like to request for and click the Add to Requested Courses button.  When you have completed your selection, click save.

Select Course:

Description:

Meeting Info:

Please click on the Course corequisite drop down box to determine if there is a corequisite  for this class.

Corequisite:

Corequisite Meeting Info:

Requested courses

(To remove a course from the list click update):

If you have selected a course with a pre-requisite and have met it, please check the acknowledgement box below and upload an unofficial transcript.

Acknowledgement:

Upload Unofficial Transcript:

*If Submit button is not activated, ensure you have clicked the Add to Requested Courses button and answered all *required fields.