College Bridge Program Registration - Boquet Valley

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Student First Name*Student First Name

Student Last Name*Student Last Name

Student Middle Initial*Student Middle Initial

Date of Birth*Date of Birth

Location Courses

HIS 151 EBV---American History I----Basile---M-F---Fall---12:24-1:21

HIS 152 EBV---American History II------Basile---M-F---Spring---1:24-2:03

POS 102 EBV---Government and Politics---Basile---Fall---M-F---11:18-11:57a

FRE 101 EBV --- (French 3) Intro to French ---MTWRF---Full year 11:18-11:57a

FRE 102 EBV --- (French 4) Intro French II --- MTWRF---Full year---8:30-9:09

FRE 201 EBV --- (French 5) Intermediate French---MTWRF--- Full year 7:45a-8:27a

HUM 126 EBV---World Cultures---J. Chan-Seng---MWF--- Full year---9:12-9:51a

ENG 101 EBV---English Composition---Amanda Jones---MTWRF---Full Year---7:45-8:27a

ENG 105 EBV---Principles of Speech---Sarah Rice---MWF---Full Year---9:54a-10:33a

ENG 112 EBV---Literature--- Sarah Kingzack ---MTWRF---Full Year---8:30-9:09a

MAT 121 EBV - Elementary Statistics - John Fairchild - MTWRF- Full Year---12:42-1:21p

MAT 240 EBV - Calculus - Caitlin Quinn - MTWRF - Full Year --- 1:24-2:03p

BUS 212 EBV---Marketing---Jason Colby ---MTWRF---Full Year--- 7:45-8:27a

BIO 104 EBV---Environmental Science---Kaitlin Fielder---MTWRF---Full Year---10:36-11:15a

SPA 101 EBV---Intro to Spanish---Steve Hudson---MTWRF---Full---1:24-2:03p

Please check the boxes of the classes you will be taking for college credit this year:

Signature

I understand that by signing this registration form I am formally enrolling in courses offered by North Country Community College at my high school. I have indicated my choice on the form below. I understand that New York State Education Law allows me to enroll in these courses without a signature from my parent or guardian.

I am responsible for paying $75 for each course I select below. I understand that I will receive a green bill at my mailing address which I will have to pay unless I formally drop these courses before October 15 2025. I can inform my instructor and/or guidance counselor prior to that date. If I do not I will still have to pay for the course even if I choose not to participate at a date after October 15 2025.

I further understand that I will need to provide my social security number to facilitate official enrollment receipt of transcripts and reporting processes as established under Section 355 of the Education law of the State of New York. If I do not provide my social security number by October 18 2025, I will be removed from the program without notice.

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