College Bridge Program Registration -- Saint Regis Falls

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

ANT102 ESF---Cultural Anthropology---Steven Hayes---MTWRF---11:23-12:03---Fall

ART108 ESF---Studio Art---Madison Mundy---MTWRF---10:50-11:30---Full

DRA 101 ESF---Intro to Drama---Jillian Crites---MTWRF---2:12-2:55---Full

ENG 101ESF---English Composition I---Peter Crowley/Jillian Crites---MTWRF---12:06-12:46---Fall

ENG 105 ESF---Principles of Speech---Peter Crowley/Jillian Crites---Days1,3,5 (MWF)---10:50-11:30---Full

HIS 104 ESF---World History II---Tyler Beck---MTWRF ---Full

HIS 121 ESF---Adirondack History---Steven Hayes---MWF---1:39-2:09 Full

HUM 246 ESF---World Mythology---Tyler Beck---Days 2, 4, 6---7:47-8:37---Full

MAT 132 ESF---Precalculus---Debbie LaBarr---MTWRF---11:23-12:03---Full

PHY 101 ESF---Physics---Amanda Zullo/Mary Alice LaPlante---MTWRF---1:39-2:09---Full

PHY 101 ESF 1---Physics Lab---Amanda Zullo/Mary Alice LaPlante---Days1, 3, 5 (MWF)---2:12-2:55---Full

POS 102 ESF---American Gvmt and Politics---Steven Hayes---MTWRF---2:12-2:55---Fall

POS 120 ESF---International Politics---Steven Hayes---TR---1:39-2:09---Full

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.

https://www.nccc.edu/registration/college-bridge-registration-tupper-lake.html

Signature

College Bridge Program Registration - Saint Regis Falls