UpNCoding

Please provide the requested information below to register or learn more about the UpNCoding coding boot camp at North Country CC!

First Name

Last Name

Birthdate

Email Address

Phone Number

Would you like to receive texts about UpNCoding?

Yes

What is your preferred method of communication? Please select all the apply.

Texting

Phone Call

Mail

Self-assessment: Technology experience

No experience

Basic computer/technology skills

Moderate Skill level (some experience)

Advanced Skill level

How would you like to take this course

In-Person in Saranac Lake

Online

HyFlex - sometimes online, sometimes in-person

Interest level:

I would like to register now!

I would like to learn more about this non-credit opportunity.

Additional questions

Additional information needed to complete initial registration for this non-credit offering (*required).

Citizenship*

Permanent U.S. Resident

Yes

SSN*

Mailing Address*

Country

Street

City

Region

Postal Code

What best describes you?*

High School Attended (if GED earned, please type 'GED')*

High School Graduation Year*

Name of College/University attended:

Degree Earned

Have you ever been dismissed from a college/university for disciplinary reasons?

Yes

Preferred Payment Method.* Full payment will be due prior to the first class.

I would like to pay online.

I would like to pay by check.

I would like to make payment arrangements.

Verification*

I am the individual named above.

I understand, that by signing this registration form, I am formally registered for the above indicated semester and have incurred a financial obligation to pay for these courses unless I formally drop the courses in writing prior to the start of the semester. I understand I will need to obtain a Certificate of Residence from my home County Treasurer’s Office within 30 days of the start of classes to receive In State Tuition.

Electronic Signature*