Workforce Development and Community Education Registration Form

Want to learn more about Belmont College?

Registration Form for Workforce Development and Community Education Classes

First Name:

MI:

Last Name:

Social Security Number:

Birthday:

Mailing Address:

City:

State:

Zip:

Employer / Company Name:

Employer / Company Address:

Home Phone:

Cell Phone:

Email:

Comments:

How did you hear about our BeCommunity/Workforce classes?

Please indicate in which classes you would like to be enrolled (enrollment may be limited, enroll early):

Class 1:

Class Title:

Class Cost:

Class 2:

Class Title:

Class Cost:

Class 3:

Class Title:

Class Cost:

Class 4:

Class Title:

Class Cost:

Total:

Total Cost:

Paying for class: Payments can be made via check, money order, credit card (Visa, Master Card, Discover, or American Express) or cash. Payments must be received by the Workforce Development and Community Education Department seven days prior to the start date of the class to hold your seat. If payment is not received, student is not considered registered.

Withdrawing from class: In order wo withdraw from class a student must notify the department seven days prior to the start of class. Students who fail to notify the department seven days prior to the beginning of class will be responsible for the entire cost of the class. Belmont College's policy states students are ultimately responsible for the cost of the class. In case of a third party pay, if a student does not attend class or notify the department, the student will receive an invoice for the cost of the class not the third party.

Notification of registration: A student is considered registered for a class upon receipt of their registration form and payment. Every student may consider his/herself registered and the class going as scheduled unless they receive notification from the department.

Refund Policy: 100% refund if college cancels, 100% refund if student withdraws seven days or more prior to the start date of class, 50% refund if student withdraws two to six days prior to the start date of class, 0% if less than two days prior to the start date of class.