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HSMI Online Course Registration Form

Please complete this form for Instructor-Led and Self-Paced HSMI Online Courses in order to officially enroll in your course at MCC. After submitting this form, allow 24-48 hours for registration requests to be processed.
Reminder: Once registered, you will access your course online at http://monroecc.sln.suny.edu.

Social Security Number: (999-99-9999)
First Name:
Middle Initial:
Last Name:
Home Address:
City:
State/Province:
Zip/Postal Code:
Country:
Phone Number: (555) 555-5555
Work Phone Number: (555) 555-5555
Email Address:
Birthdate (mm/dd/yy):
Gender: Female Male
Ethnic Origin:
Disability Information:
Select Course:
Hold CTRL and click to select multiple courses.
 

Payment Information:
A copy of your tuition bill will be sent to you. Payments should be made within 10 days of registration and mailed to Monroe Community College, attn: Registrar’s Office, 1000 E. Henrietta Rd, Rochester, NY 14623. You may also use MCC’s website to access your course schedule and pay your bill online within 48 hours of submitting this form at: http://www.monroecc.edu, Click on the “Current Students” link, Click on the “Student Records” link, and Login with your MCC Username and Password.

Please contact HSMI at 585-753-3921 or hsmi@monroecc.edu with questions. Thank you.


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