The Challenge Program for Adults with Developmental Disabilities
Transcription
The Challenge Program for Adults with Developmental Disabilities
The Challenge Program For Adults with Developmental Disabilities These unique courses will help adults with developmental disabilities function more independently in the home, at work, and in the community. Of equal importance, students will have the opportunity to increase their social and community awareness by visiting Montgomery College and learning what it has to offer. Before attending Challenge courses, please inquire at the Campus Center Building, Room 220, Rockville Campus for information regarding class time changes, date changes, course cancellations, or classroom changes. Please register on time, classes fill quickly. Limited scholarships available. NEW CLASSES INCLUDING: • Exploring Americas National Parks • Famous Classical Composers— Their Music in Past and Present • Natural Disasters • Upcycle Art • Wild About Animals • Women Who Have Shaped History Student Expectations Students are expected to be able to navigate campus independently and must abide by the student code of conduct. Any violation may result in disciplinary action, including dismissal from the program. Workforce Development & Continuing Education FALL 2016 Course Schedule Amazing Chemistry Experiments Exploring Americas National Parks Life Skills, Career Education, and Steps to Independent Living Wild About Animals Current Events: What Current Ideas Can Teach Us Exploring Jobs Drawing and Writing through History Join Our Book Club! Natural Disasters Women Who Have Shaped History Introduction to Dance Nutrition for Health, Fitness and Sports Basic Reading and Writing Beginning Spanish: Hola, bienvenidos! Hello, come join us! Building Reading Skills Chorus—Introduction M M, W M, W, F T T W W W W R R F F F F Course Name M Days of Week 1–2:30 p.m. 12–1:30 p.m. 10:45 a.m.–12:15 p.m. 9–10:30 a.m. 5:15–6:45 p.m. 1–2:30 p.m. 1–2:30 p.m. 11 a.m.–12:30 p.m. 10:30 a.m.–12 p.m. 1–2:30 p.m. 5:15–6:45 p.m. 10:30 a.m.–12 p.m. 2:30–4 p.m. 9–10:30 a.m. 11 a.m.–12:30 p.m. 1–2:30 p.m. Time 9/9–11/11 9/9–11/11 9/9–11/11 9/9–11/11 9/8–11/10 9/8–11/10 9/7–11/9 9/7–11/9 9/7–11/9 9/7–11/9 9/6–11/8 9/6–11/8 9/7–11/2 9/7–10/31 9/12–11/14 9/12–11/14 Dates 210 MU 126 HU 112 PE 201 CC 114 PE 216 SB 215 SB 216 CC 114 PE 009 SB 208 CC 128 HU 205 CC 216 CC 215 SB 009 SB Room/ Bldg. SPP266 SPP315 SPP271 SPP272 SPP287 SPP257 SPP365 SPP368 SPP292 SPP359 SPP262 SPP334 SPP284 SPP155 SPP367 SPP341 Course # 25957 25964 25958 25959 25960 25955 25970 25973 25962 25969 25956 25966 25961 25953 25972 25967 CRN # Please note that the classes listed below are in order by the DAY OF WEEK the class starts. See the DATES column for start and end dates. 2016 Fall Class Schedule at a Glance K. Corcelius R. Nalley M. Schneider M. Schneider J. Solyst K. Corcelius K. Corcelius S. Solyst W. Sutch-Kiser S. Solyst J. Solyst K. Corcelius W. Sutch-Kiser S. Solyst S. Solyst S. Solyst Instructor 5 4 4 4 7 7 8 7 7 5 6 5 8 7 6 4 Pg. 10:30 a.m.–12 p.m. 1–2:30 p.m. Famous Classical Composers—Their Music in Past and Present Introduction to Cartoon Character and Anime Drawings Upcycle Art Essential Math Skills Exciting Sports and Games for All F F F S S Effective Writing II Reading and Vocabulary Building II M, W M, W TAKOMA PARK/SILVER SPRING CAMPUS MU=Music TA=Theatre Arts Building HU=Humanities 10:15–11:45 a.m. 1:15–2:45 p.m. 1–2:30 p.m. 2:45–4:15 p.m. PE 114 PE 009 SB 009 SB 201 CC 009 SB R=Thursday 9/13–12/8 9/13–12/8 9/12–12/7 9/12–12/7 SPP333 SPP349 SPP369 SPP167 SPP366 SPP304 TC=Technical Center PE=Physical Education SPP119 SPP139 SPP119 SPP139 25965 25968 25974 25954 25971 25963 E. Ackerman E. Ackerman E. Ackerman E. Ackerman S=Saturday 25949 25952 25950 25951 J. Solyst J. Solyst S. Solyst S. Solyst K. Corcelius S. Solyst 8 8 8 8 6 6 8 6 6 5 SB=South Campus Instructional Building HC=Health Science Center F=Friday 215 SB 215 SB 120 HC 120 HC CS=Computer Science Building W=Wednesday Building Abbreviations: CC=Campus Center T=Tuesday Reading and Vocabulary Building II T, R Day Key: M=Monday Effective Writing II T, R ROCKVILLE CAMPUS 9/10–11/12 9/10–11/12 9/9–11/11 9/9–11/11 9/9–11/11 9/9–11/11 Fall 2016 Challenge Connecting Reading and Writing Schedule 12–1:30 p.m. 10–11:30 am 11 a.m.–12:30 p.m. 9–10:30 a.m. Communications: Activities for Better Communication F Amazing Chemistry Experiments Chemistry is the heart of how things work; it’s the science of change. Chemistry does not have to take place in a lab. Did you know that chemistry can take place right in your kitchen when you bake? Join us as we create chemical reactions, devise new magic tricks and create yummy treats while learning chemistry concepts. You will ask questions, form hypotheses, investigate, record, and share notes. Please bring a folder with pockets, paper, pencil and comfortable clothes as this class will get messy. Course: SPP341 $156 + $64 fee = $220; NMR $140 Rockville Campus CRN#: 25967 9/12–11/14 13 Sessions 1–2:30 p.m. 15 Hours M Rockville Campus CRN#: 25959 9/9–11/11 10 Sessions 9–10:30 a.m. 15 Hours F Drivers Education DID YOU KNOW that we offer Driver Education for students with moderate learning disabilities? For more information, please contact our Driver Ed department at 240-5671895 or visit us online at http://cms.montgomerycollege.edu/ wdce/bits/driveredspecialneeds.html 4 Course: SPP271 15 Hours Rockville Campus You will learn basic reading comprehension skills, build vocabulary, and develop writing skills. The emphasis is on understanding main idea, sequence of events, context clues, and basic grammar. You will gain knowledge through interactive group work activities, work sheets, and videos designed to engage you while acquiring necessary reading comprehension skills. $156 + $64 fee = $220; NMR $140 This course is designed to teach the basic Spanish language phrases, numbers, weather, calendar, days of the week, introductions, gender, pronunciation, and more. This introductory class will help you enhance your speaking and listening skills. Oral communication, listening comprehension, and vocabulary development are stressed. You will build your skills through instructions, group activities, written exercises, and intensive practice. This fun-filled immersion curriculum will engage, entertain, and educate you in Spanish. Studying a second language will help you develop an appreciation for other cultures and is a valuable skill in today’s competitive job market. $156 + $64 fee = $220; NMR $140 Basic Reading and Writing Course: SPP272 Beginning Spanish: Hola, bienvenidos! Hello, come join us! CRN#: 25958 9/9–11/11 10 Sessions F 10:45 a.m.–12:15 p.m. Building Reading Skills Reading skills are essential for school, work, and social life. Travel to many exciting places through the magic of books. Reading, vocabulary, and comprehension skills will be increased through discussion, writing, and art projects. Learn to identify the main idea, follow a sequence of events, and recognize supporting details. Come journey through the adventures of reading! Course: SPP315 $156 + $64 fee = $220; NMR $140 Rockville Campus CRN#: 25964 9/9–11/11 10 Sessions 12–1:30 p.m. 15 Hours F Coming Spring 2017 NEW Technology Classes! www.montgomerycollege.edu/wdce/academicworkprep.html Chorus—Introduction You will be provided with a foundation in the use of vocals, pitch, rhythm development, and listening skills. You will develop an understanding of choral music styles and learn choral terminology. Through the process of preparing for a choral presentation, you will learn discipline, perseverance, dependability, composure, courage, and subsequently, pride in your results. Course: SPP266 $156 + $64 fee = $220; NMR $140 Rockville Campus CRN#: 25957 9/9–11/11 10 Sessions 1–2:30 p.m. 15 Hours $156 + $64 fee = $220; NMR $140 Rockville Campus CRN#: 25963 9/9–11/11 10 Sessions 9–10:30 a.m. 15 Hours Rockville Campus How do you start a conversation with someone you just met? How do you control your anger in a public setting or the workplace? You will learn interpersonal communication and will role play and practice real life situations. Interpersonal communication is the exchange of information between two or more people and it is not always easy. We will hone our communication skills through role-play activities, interactive games, art, and creative worksheets. We will focus on the nature and qualities of our day to day relationships and how to improve them through effective communications. Good communication requires practice and effort. Come talk, speak, chat, and communicate with your classmates! $156 + $64 fee = $220; NMR $140 Join our class discussions as we learn about current ideas from the past year and how they influenced society and our lives. Sports, entertainment, music, and major news events will be topics of discussion. You will learn how to research those topics on a computer. You will also develop and improve vocabulary, word recognition, comprehension and writing skills. There will be plenty of class discussions, activities and research in this class! Course: SPP334 F Communications: Activities for Better Communication Course: SPP304 Current Events: What Current Ideas Can Teach Us 15 Hours CRN#: 25966 9/6–11/8 10 Sessions T 10:30 a.m.–12 p.m. Drawing and Writing through History You will study pilgrims, pirates and patriots as they take an exciting journey through time as we draw and write our way through history. You will study the history of early North America from its Native people, to exploring why they came here, then it’s first settlers and the presence of pirates. Lastly, you will study the patriots that won this country its freedom. There will be writing prompts each week, you will write about what you learned and there will be step by step drawing instruction to illustrate your writing. This class is a fun interactive way to learn history! Course: SPP359 $156 + $64 fee = $220; NMR $140 Rockville Campus CRN#: 25969 9/7–11/9 F 10 Sessions 1–2:30 p.m. 15 Hours W Instructors for classes are listed in the At A Glance Schedule starting on page 2. Customer Service 240-567-5188 NMR Non-Md. resident 5 Essential Math Skills Learn automatic computation skills needed to master addition, subtraction, multiplication and fractions. These fun and challenging activities will keep you motivated while mastering the foundations of math. Course: SPP349 $156 + $64 fee = $220; NMR $140 Rockville Campus CRN#: 25968 9/10–11/12 10 Sessions 10–11:30 a.m. 15 Hours S Exciting Sports and Games for All Put your sports clothes and sneakers on and join us as we learn to stay healthy through nutrition, exercise and sports. You will learn about stretching, warming up, weight, exercise, and competitive sports. You will learn about body weight composition for health and sports. You will learn about proper nutrition and exercise while enjoying a variety of sports! Course: SPP333 $156 + $64 fee = $220; NMR $140 Rockville Campus CRN#: 25965 9/10–11/12 10 Sessions 12–1:30 p.m. 15 Hours NEW Happy 100th Birthday National Parks! Join the centennial celebration by learning about the greatest American treasures. You will research and discuss the Giant Redwoods in Sequoia National Park, the geyser “Old Faithful” in Yellowstone National Park, the Majestic Grand Canyon and the gators in the Everglades, as well as the ponies on Assateague Island. This class will go on an educational journey that started one hundred years ago around the campfire of President Teddy Roosevelt and naturalist John Muir; they created an American legacy for us to explore! Course: SPP367 $156 + $64 fee = $220; NMR $140 15 Hours Rockville Campus CRN#: 25972 9/12–11/14 Trying to find the right job fit in today’s economy? Join us as we discuss career options, résumé building, employment opportunities, internships, and how important it is to volunteer. Discovering a job seeker’s strengths, uncovering their employment-related goals and experience is the place to start. This class will help guide you through: what life experiences you have, what your strengths are, interests and preferences, and what specifically you have to offer an employer. You will develop résumés, develop a reference page, fill out job applications, and role play job interviews. Materials needed for class: flash drive, notebook, and pen. Course: SPP262 $156 + $64 fee = $220; NMR $140 Rockville Campus CRN#: 25956 9/6–11/8 10 Sessions 5:15–6:45 p.m. T Famous Classical Composers—Their Music in Past and Present NEW 10 Sessions M 11 a.m.–12:30 p.m. Course: SPP366 $156 + $64 fee = $220; NMR $140 Instructors for classes are listed in the At A Glance Schedule starting on page 2. 15 Hours Rockville Campus CRN#: 25971 9/9–11/11 10 Sessions F 10:30 a.m.–12 p.m. Introduction to Cartoon Character and Animé Drawings Practice a step-by-step drawing process that progresses from drawing stick figures and simple shapes to drawing characters, cartoons, and animé. This course will bring your dreams to life. Materials needed for class: sketch pad, pencils, erasers, and black felt tip marker. Course: SPP167 $156 + $64 fee = $220; NMR $140 Rockville Campus 6 15 Hours Do you have an ear for classical music? Join us to learn about the history of famous classical composers, such as Bach, Mozart, Beethoven and Brahms. You will explore their music, research their personal lives and enjoy learning trivia about each of them. S Exploring Americas National Parks Exploring Jobs CRN#: 25954 9/9–11/11 10 Sessions 1–2:30 p.m. 15 Hours F Introduction to Dance You will experience several different dance styles through watching film clips of famous dancers, lectures, worksheets, and experiential dance activities. An examination of dance as an art form and means of multicultural expressions, ritual, and tradition will be explored. You will become familiar with basic steps from these dance styles. Put on your dancing shoes and join us as we explore the world of dance! Course: SPP257 $156 + $64 fee = $220; NMR $140 Rockville Campus CRN#: 25955 9/8–11/10 10 Sessions 1–2:30 p.m. 15 Hours R Natural Disasters Join Our Book Club! James and the Giant Peach by Roald Dahl The words and images in this novel virtually jump off the page – join us on a journey full of excitement! You will tremble when you first meet Aunt Sponge and Aunt Spiker, and will feel a tremendous thrill when the peach takes off and James begins his journey. Course: SPP292 $156 + $64 fee = $220; NMR $140 15 Hours NEW Have you ever wondered what causes the Earth’s most dangerous forces? When natural disasters occur on earth, people, creatures and the environment are affected. Join us as we learn to prepare for natural disasters and protect ourselves from them. This fully engaging science course will form hypotheses, test out theories, create experiments, and form conclusions while investigating nature’s most dangerous forces. Course: SPP368 $156 + $64 fee = $220; NMR $140 15 Hours Rockville Campus Rockville Campus Life Skills, Career Education, and Steps to Independent Living Nutrition for Health, Fitness, and Sports CRN#: 25962 9/7–11/9 10 Sessions W 10:30 a.m.–12 p.m. This course gives you the structural skills needed to manage independently, including how to set up and take care of a home, stay healthy, use money wisely, and maintain safety. Master essential skills crucial to succeed in daily life. Strengthen your vocabulary skills with engaging activities. Course: SPP155 $213 + $126 fee = $339; NMR $140 Rockville Campus CRN#: 25953 9/7–10/31 16 Sessions 9–10:30 a.m. 24 Hours M,W CRN#: 25973 9/7–11/9 10 Sessions W 11 a.m.–12:30 p.m. Put on your workout clothes and sneakers and join us as we learn to stay healthy through nutrition and exercise. You will learn about protein—the tissue builder, vitamins—the organic regulators, minerals— the inorganic regulators, and water—electrolyte and temperature regulators. You will learn about body weight and composition for health and sport, weight maintenance, and weight loss through proper nutrition and exercise. Come join us as we learn to promote maintenance of optimal health! Course: SPP287 $156 + $64 fee = $220; NMR $140 Rockville Campus Instructors for classes are listed in the At A Glance Schedule starting on page 2. CRN#: 25960 9/8–11/10 10 Sessions 5:15–6:45 p.m. 15 Hours R 7 Upcycle Art NEW Have you ever heard someone say “one man’s trash is another man’s treasure?” Upcycling, not to be confused with recycling, takes something that may have been thrown in the trash and improves it. You will learn about the history of trash, how to make compost and make decomposable planters. You will reuse old clothes, lightbulbs, and other household items to create beautiful new items. Join us as we give trash a second life! Course: SPP369 $156 + $64 fee = $220; NMR $140 15 Hours Rockville Campus CRN#: 25974 9/9–11/11 10 Sessions F 11 a.m.–12:30 p.m. Wild About Animals Have you ever thought about how we share the world with animals? Endangered species? Or how insects help us and hurt us? Join us to learn about various habitats around the world from the plight of endangered species to the hope of adorable baby animals. Materials needed for class: Colored pens, glue, markers and scissors. $232 + $109 fee = $341; NMR $160 Rockville Campus CRN#: 25961 9/7–11/2 25 Sessions 2:30–4 p.m. 37.5 Hours M,W,F Women Who Have Shaped History $156 + $64 fee = $220; NMR $140 Rockville Campus CRN#: 25970 9/7–11/9 10 Sessions 1–2:30 p.m. NEW 15 Hours Reading and writing skills are combined in this class in a comprehensive, systematic process. Learn to write descriptive and narrative paragraphs, use punctuation correctly, and compose demonstration speeches. You will be assigned a two-page typed paper. Bring your own dictionary, 3x5 note-cards, paper, and notebook to class. Course: SPP139 $232 + $109 fee = $341; NMR $160 Rockville Campus CRN#: 25952 9/13–12/8 No class 11/24 25 Sessions 1:15–2:45 p.m. CRN#: 25951 9/12–12/7 25 Sessions 2:45–4:15 p.m. 37.5 Hours T,R M,W Reading and Vocabulary Building II During 25 sessions, you will receive instruction in reading comprehension and vocabulary building. Learn to identify the main idea, follow a sequence of events, and recognize supporting details. You can improve your own writing and speaking skills when you summarize and outline reading materials, take better notes, and build your vocabulary. Bring your own dictionary, 3x5 note-cards, paper, and notebook to class. Course: SPP119 $232 + $109 fee = $341; NMR $160 37.5 Hours Rockville Campus W Instructors for classes are listed in the At A Glance Schedule starting on page 2. 8 These courses are designed to enhance reading comprehension, writing skills, and build vocabulary. Students will learn and practice reading and writing skills by enrolling in both courses. For additional information, please contact karla.nabors@montgomerycollege.edu or call 240-567-1660. Takoma Park/Silver Spring Campus From women’s suffrage to the feminist movement, there are many women who have shaped history worth celebrating and remembering; Harriet Tubman, Susan B. Anthony, Eleanor Roosevelt, and Dolly Madison to name a few. Did you know Jane Addams was the first woman to win a Nobel Peace Prize? You will study, research and discuss the significant impact women had on American history. Course: SPP365 This program connects Reading and Writing Skills students need to prepare for college course work. Effective Writing II NEW Course: SPP284 Connecting Reading and Writing CRN#: 25949 9/13–12/8 No class 11/24 25 Sessions T,R 10:15–11:45 a.m. CRN#: 25950 9/12–12/7 25 Sessions 1–2:30 p.m. Takoma Park/Silver Spring Campus M,W Challenge Program Scholarships A limited number of need-based scholarships are available for qualified Challenge students, pending funding availability, through Montgomery College’s Workforce Development & Continuing Education. Need-based students accepted into the Graduate Transition Program (GTP) may also qualify for funding. Application period for Fall 2016 Challenge or GTP scholarships is July 25–August 12, 2016 at 5 p.m. For more information and for application deadlines, please visit: http://www.montgomerycollege.edu/wdce/ce/ challengescholarship.html. Graduate Transition Program The Graduate Transition Program (GTP) at Montgomery College offers a college experience for students with developmental disabilities. GTP is a two-year, noncredit certificate program offering academic classes, job coaching, job development, career exploration, and social and recreational activities. www.montgomerycollege.edu/wdce/ce/ developmentaleducation.html For information, contact Karla Nabors at 240-567-1660 or karla.nabors@montgomerycollege.edu Transitioning Youth Resource Fair For individuals with disabilities, families, caregivers, and professionals. Saturday, October 15, 2016 10 a.m.–2 p.m. Montgomery College— Takoma Park/Silver Spring Campus Time for Independence Workshops + Exhibits Jobs—Education • Training Housing Benefits • Sports and Fun For more information: transitionworkgroup@yahoo.com SPONSORED BY: Montgomery County Public Schools, Montgomery County Department of Health and Human Services Aging and Disability Services/Community Support Network, Maryland Division of Rehabilitation Services, Abilities Network, The Arc of Montgomery County, St. Luke’s House and Threshold United, McTransitions.org, TLC’s Outcomes Services, Potomac Community Resources (PCR), The Pathway Schools, TransCen,Inc., Transition Times, JFGH and the MOST Program (Meaningful Opportunities for Successful Transitions), Montgomery College WD&CE, Developmental Education/Workforce Access, College Living Experience, Quality Trust, Learning Disabilities Association of Montgomery County, JSSA Challenge Program Students: If you need support services due to a disability, please contact Ms. Natalie Martinez at least six weeks prior to the start of class to arrange for accommodations and/or assistive technology. Natalie Martinez: 240-567-4118 E-mail: natalie.martinez@montgomerycollege.edu If this procedure is not followed, services may be delayed 9 Payments Payment MUST be made IN FULL at the time of registration to avoid being deleted from the course. Complete information is required to process all registrations and payments. Further instructions for WEB, FAX or MAIL-IN payments can be found at: cms.montgomerycollege.edu/wdce/registerops.html. Registration will not be processed without appropriate payment. Residency Policy The following are general guidelines taken from the College policy on residency for tuition purposes. A complete copy of the policy is available in the Montgomery College Catalog. A. Students attending Montgomery College will pay tuition according to their residency. B.To qualify, for tuition purposes, as a resident of the state of Maryland, legal domicile must have been maintained for a period of not less than three months prior to the first regularly scheduled class for the semester. C. The domicile of a person registering in a noncredit course at Montgomery College shall be considered as a person’s permanent place of abode, where physical presence and possessions are maintained, and where he/she intends to remain indefinitely. Transfer Policy To transfer from one CRN to another CRN of the same course, a letter must be received in the Admissions, Records, and Registration Office, Montgomery College, 51 Mannakee Street, Rockville, MD 20850 before the beginning date of both CRNs of the course. If you have enrolled in a co-listed course you will have only one day after the class has begun to transfer. After that, you are committed to your path for the remainder of the course. If the course has a required assessment level to be a credit student, you must first complete the assessment testing and meet the appropriate assessment level before you can change to credit status. Refund Policy Refunds are paid at 100% for classes cancelled, dropped online, or in person (using a Drop Form), prior to the start date of the class. Refunds are also paid at 100% if class is dropped prior to the Refund Date printed on your registration confirmation. DO NOT drop classes online on or after the day the class begins; you will not receive a refund. APPE students must call 240-567-7262 for refund/withdrawal instructions. Refunds for open enrollment classes will go to the registered student of record. For the Drop Form and more information, visit www.montgomerycollege.edu/wdce/register/refundpolicy.html. Challenge Program Students: Please register through Disability Support Services (DSS). If you need support services due to a disability, please contact Ms. Natalie Martinez at least six weeks prior to the start of class to arrange for accommodations and/or assistive technology. Natalie Martinez: 240-567-4118 E-mail: natalie.martinez@ montgomerycollege.edu If this procedure is not followed, services may be delayed. 10 4 Easy Ways to Register On the Web If you have enrolled in a Montgomery College class, and are paying by credit card or checking account, you can register on the web. Visit: www.montgomerycollege.edu/wdce/registerops.html and click on “Register by Web.” By Mail Mail completed registration form with payment to: Montgomery College Workforce Development & Continuing Education, Rockville Campus Campus Center, Room 220 51 Mannakee Street Rockville, MD 20850 By Fax Fax completed registration form indicating credit card payment to Montgomery College at 240–567–1877. Walk–In A completed registration form with payment may be submitted at any of these locations: Gaithersburg Business Training Center, Room 400 8:30 a.m.–9 p.m. (Mon–Fri); 8:30 a.m.–4 p.m. (Sat) Germantown Campus Humanities and Social Sciences Building, Room 241 and/or 243 8:30 a.m.–5 p.m. (Mon–Thur); 8:30 a.m.–4:30 p.m. (Fri) Rockville Campus 220 Campus Center 8 a.m.–7 p.m. (Mon–Thur); 8 a.m.–5 p.m. (Fri) 8:30 a.m.–12 p.m. (Sat) Takoma Park/Silver Spring Campus CF 230, Customer Service 8:30 a.m.–6 p.m. (Mon–Thur); 8:30 a.m.–4:30 p.m. (Fri) Westfield South, Suite 306 ** 8:30 a.m.–9 p.m. (Mon–Thur); 8:30 a.m.–4:30 p.m. (Fri); 8:30 a.m.–4 p.m. (Sat) NOTE: Cash payments must be paid in the Cashiers’ Offices at the Germantown, Rockville, or Takoma Park/ Silver Spring campuses between 8:30 a.m.–1 p.m. and 2–4:30 p.m., Mon–Fri. Payments due at time of registration ** Disability access for this leased site is on the same side as the movie theatre entrance. For more information regarding disability access at this site, or if any individuals are facing accessibility issues anywhere in the Westfield South Center, please call 240-567-8841. REGISTRATION FORM Workforce Development & Continuing Education Please Print Clearly All information is required. Incomplete forms will be returned to the student unprocessed. For registration assistance call 240-567-5188. FAX completed registration form with credit card information to 240-567-7860 or 240-567-1877 or 240-567-7937. Mail completed registration form with payment to WD&CE Registration, 51 Mannakee Street, CC 220, Rockville, MD 20850. College ID Number: - Birthdate M 2 Month Last Name - Sex Day □Female □Male Year Middle Initial First Name Address Apt. # House # and Street Name (Do NOT use P.O. Box or you will be charged Non-Md. resident fee.) State City Home Phone Work Phone Fax E-Mail Have you attended MC before? How did you hear about us? □Yes □No - Zip If you have ever taken a credit class at MC and the last class (credit or non-credit) you took at MC was more than 4 years ago, you must also complete and submit a Student Reactivation form found at: http://www.montgomerycollege.edu/studentforms. □Received brochure in mail □Website □Social media □Advertisement □On campus □Other_______________ Military: If the military is paying for your course(s), you must submit the last 4 digits of your SSN. STUDENTS WITH DISABILITIES If you need support services due to a disability, call Workforce Development & Continuing Education at 240-567-4118 at least three weeks before class begins. ETHNICITY: Choose one. (Disclosure not mandatory by Montgomery College, but is required by the U.S. Department of Education.) Hispanic or Latino Not Hispanic or Latino □ □ RACE: Choose all that apply, you may choose more than one. (Disclosure not mandatory by Montgomery College, but is required by the U.S. Department of Education.) □American Indian or Alaskan Native □Asian □Black or African American □Native Hawaiian and other Pacific Islander □White □U.S. Citizen □Permanent Resident (Circle one: Green Card / Working Card) □Other Immigration Status ______________ (Used for tuition-setting purposes only.) CHECK ALL THAT APPLY: I have been a Maryland resident [as defined in the Montgomery College Catalog] for at least three months. I am 60 years of age or older. (Applicable to designated tuition waiver courses for Maryland residents only.) I am a Maryland National Guard member enlisted for at least a 24 month period and submitting proof of such from the adjutant general’s office. □ □ □ CRN # Course # Course Title Start Date Tuition Course Fee Refunds will go to the registered student of record. Code: SP Non-Md. Fee Total Due Course Total $ I certify that the information on this registration is correct and complete. I am aware of and will adhere to College policies as published in the Student Handbook. I understand that non-attendance and/or failure to file all registration changes in writing with the Admissions and Records Office does not relieve me of responsibility for tuition and fee charges incurred. I agree to abide by the policies and procedures of the College, including without limitation, the Student Code of Conduct and any payment liabilities. I hold the College harmless for any errors I have made that may affect a request for a subsequent refund or academic appeal. _________________________________________________________ Student Signature Required Please indicate payment by: □Check (payable to Montgomery College) ____________________________ Date Credit card: Credit Card Information: Expiration date on card 3 or 4 digit Security code on your card Month NOTE: Credit card information will be detached and disposed of promptly and properly after payment is approved. □MasterCard □VISA □American Express □Discover / Year Credit Card Number Name on Card Card holder signature required _____________________________________________________________ 4/28/16 Montgomery College is an Equal Opportunity Affirmative Action Title IX institution. Date___________________ Workforce Development & Continuing Education Non-Profit Org. US Postage Paid Rockville, Md. Permit No. 97 51 Mannakee Street Rockville, MD 20850-1195 240-567-5188 The Challenge Program For Adults with Developmental Disabilities FALL 2016 SAVE THE DATE Transitioning Youth Resource Fair Saturday, October 15, 2016 See page 9 for more information. Contact Information: Karla Nabors:240-567-1660 karla.nabors@montgomerycollege.edu Jill Kephart: 240-567-7720 jill.kephart@montgomerycollege.edu LOOK INSIDE FOR THESE NEW CLASSES! • Exploring Americas National Parks • Famous Classical Composers— Their Music in Past and Present • Natural Disasters • Upcycle Art • Wild About Animals • Women Who Have Shaped History 240-567-5188 www.montgomerycollege.edu/wdce/academicworkprep.html