College Bridge Program Registration - SouthWest Tech

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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

ART 105 ELF----Seniors---Intro to Computer Graphics---Stewart, Susan---MTWRF--Full Year--9-10

CRJ 102 ELF---Juniors---Police in Contemp Society---Foster, Rachelle---MTWRF---Fall---1-2 pm

CRJ 135 ELF---Juniors---Intro to Corrections---Foster, Rachelle---MTWRF---Spring---12-1 pm

CRJ 208 ELF---Seniors---Criminal Investigations---Foster, Rachelle---MTWRF---Fall---9-10 am

HED 110 ELF1---Seniors---Emergency Care & Safety---Foster, Rachelle---MWF---Spring---9-10 am

HED 110 ELF---Juniors -Emergency Care & Safety---Hayden---MTWRF---Spring---9:00-11:20

HED 115 ELF1---CRJ Seniors---Cardio Pulm. Resuscitation---Robinson/Foster---R---Fall---10-11 am

HED 115 ELF---HERO Jr---Cardio Pulmonary Resuscitation--Hayden---R---Fall---12-1

HED 115 ELF1---HERO Sr---Cardio Pulm. Resuscitation---Hayden---R---Fall---10-11 am

HEA 101 ELF--HERO Sr - Medical Terminology---Hayden---MW---Full Year---8-10

HUS 161 ELF---Juniors---Intro to Children and Family Services---Ruberti---MWF---Spring---12-1

ENG 101ELF---Juniors---English Composition I---Barstow/Ruberti---MTWRF---Full Year---9-10 am

ENG 105 ELF---EHS Seniors---Speech Fundamentals---Barstow/Ruberti---MTWRF---Full Year---10-11

ENG 105 ELF2---jrs---Speech Fundamentals---Barstow/Cornell---MTWRF---Full Year---12-1

ENG 105 ELF4 - srs - Speech fundamentals - Barstow/Cornell--- Full year MTWHF 10-11

ENG 105 ELN---Speech Fundamentals---Barstow/A. Stull---RF---Full Year---8:30-11:00

ENG 105 ELN---Speech Fundamentals---J. Barstow/R. Stewart---RF---Full Year---8:30-11:00

HED 115 ELF-PIE---Emergency Care & Safety- Robinson, Sue- MTWRF—Full—10-11 am

HED 140 ELF---PIE---Basic First Aid---Robinson, Sue---R---Fall---9-10 AM

HED 140 ELF1---CRJ---Basic First Aid---Robinson/Foster---R---Fall---11-12 am

HED140 ELF3 CRJ---Basic First Aid--- Robinson/Foster---Fridays Fall 12-1PM

HED 115 ELF3 CRJ Juniors---CPR---Robinson/Foster---Fridays fall 1-2PM

MAT 120 ELF---Intro to Math Concepts---S. Amo/A. Fuller---M-F---Full Year--8:00-9:00

MAT 120 ELF1---Intro to Math Concepts---S. Amo/A. Stull---M-F---Full Year---8:00-9:00

MAT 120 ELF2---Intro to Math Concepts---S. Amo/C. Cornell---M-F---Full Year---8:00-9:00

MAT 120 ELF3---Intro to Math Concepts---S. Amo/L. Durham---M-F---Full Year---8:00-9:00

MAT 120 ELF4---Intro to Math Concepts---S. Amo/M. Phinney---M-F---Full Year---8:00-9:00

MAT 120 ELF5---Intro to Math Concepts---S. Amo/J. Prashaw---M-F---Full Year---8:00-9:00

MAT 120 ELF6---Intro to Math Concepts---S. Amo/A. Ruberti---M-F---Full Year---8:00-9:00

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.

Signature

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