Polk Campus Pre-registration Form

POLK COUNTY CAMPUS
Continuing Education Course Pre-registration Form

* Name:
* Email:
* Telephone:
Please enter the name(s) of the course(s) for which you wish to pre-register. Please include date and time if course is offered more than once. NOTE: Online Pre-registration CANNOT be taken for Nurses' Aide or Safe Driving students. Please call 828-894-3092 for more information. * Required

* Course 1:
Course 2:
Course 3:
Course 4:
Course 5:
Course 6:

Privacy Statement At Isothermal Community College, we are very sensitive to the privacy of each of the subscribers on the lists that we host and will not make their name, address, or any other information that they have provided us available to anyone without the subscriber's permission. Should you decide you no longer want to receive email, we will remove you from the list.		Special Note For Teachers Our classes are available for teacher renewal credit. If a class is appropriate for your particular field, we will be pleased to provide you with the information you need for your school system in order to receive credit.

Isothermal Community College is an equal opportunity, learning centered institution