search

Workforce Development


Registration
Use this form to enroll in continuing education courses. Use a separate form for each individual enrolling. The registration deadline is one week prior to the start of class. Payment is due at the time of registration.

801 Campus Drive
Garden City, 67846
Fax: (620) 276-9797
Phone: (620) 276-9647
Email: biz@gcccks.edu

Registration Form

Fields marked
with  are required

Name Former Name(s): Birth Date / / Home Address City

State
Zip Code
Social Security Number GCCC ID# Phone () - Cell Phone () - Email Address
(we will only use it to contact you)



Business Address City

State
Zip Code
Business Phone () - Business Email


Ethnicity (optional)
Are You Hispanic/Latino?

Race (Check all that apply, optional)

Gender

Where did you hear about this class?



Please enroll me in:
(The first line is required)


Course Name: (Course ID) Course Date @ Course Time for Cost

Total Cost:


Method of payment * Please make checks payable to Garden City Community College


Check the correct Residency verification:

I hereby certify that I am a citizen of the United States and that I am a permanent resident of the following Kansas County: and that I have lived in Kansas continuously for at least six (6) months prior to the date.

I hereby certify that I am not a citizen of the United States and I am a Resident Alien with card No. (a copy of the front and back of Resident Alien Card MUST accompany this enrollment)

I hereby certify that I am a citizen of the United States and that I have not lived permanently in Kansas for at Least six (6 months prior to this date.* * If you live in Kansas at the present time, what state did you move from? Date of move

Cancellation
If you register for a class and cannot attend, call (620) 276-9647 at least two business days prior to the class to receive a full refund. If a class is changed or cancelled, we will notify you. We reserve the right to cancel, combine or divide classes, to change the time, date or place and to make other revisions as necessary, and to do so without incurring obligation.