Registration Instructions:

Fill in the blanks below. Those marked with an * are mandatory. When complete, click on the submit button. If you have any problems registering, please call the Training Coordinator at (252) 738-3345

BUSINESS/OFFICE ONLY
Collection of Social Security Numbers: Vance-Granville Community College is legally authorized to collect student Social Security numbers in order to comply with certain federal and state reporting requirements, and to meet the business imperatives of the college. *
ADDRESS
TELEPHONE NO
BIRTHDATE/AGE
If you are under 18, there will be additional forms required.
DEMOGRAPHICS
EDUCATION
COURSE INFORMATION
(1) Refund Policy: Students will be eligible for a 100-percent refund if official withdrawal occurs prior to the first class meeting or the class is cancelled. After the course begins, a 75-percent refund can be made if the student officially withdraws prior to or on the 10-percent point of the scheduled hours. For contact-hour classes, five calendar days from the first day of class is the determination date. For self-supporting classes, no refund will be made unless the class is cancelled. (2) Repeat Policy: Students who take an Occupational Extension course more than twice within a five-year period shall pay their cost for the course based on the amount of funds generated by a student membership hour for Occupational Extension multiplied by the number of actual hours the class is to be taught. Students may repeat Occupational Extension courses if the repetitions are required for certification, licensure, or recertification. (3) Grading Policy: In order to receive a satisfactory (S) grade, students must be present for at least 80-percent of the class hours scheduled. Students signature on this form gives permission for VGCC to release his/her grade to the appropriate certification agency, employer or prospective employer, when applicable.
By Choosing "Yes", I certify to the best of my knowledge that the information given is true and complete. Further, I understand that by submitting this information via electronic transmission that I acknowledge the above statement of certification in lieu of a signature.
EMS/FIRE RESCUE STUDENTS ONLY