Noncredit Application


Palomar College Noncredit Application - Fall 2009 Tel (760) 744-1150, ext 2155 Fax (760) 761-3536
*Fill in the information below and click the Submit button to email the form to Palomar College Admissions.* For more information contact: admissions@palomar.edu or call (760) 744-1150, ext. 2155
First Name
Last Name
Palomar ID or SSN
Gender
Date of Birth, MM/DD/YY
Email Address
Street Address
City
Zip Code
Telephone - include area code
Citizenship
Are you Hispanic or Latino?	Yes No
Ethnic Background
Goal
Did you attend Palomar College in Spring or Summer 2009?	Yes No
When did your present CALIF residency begin?
How long have you resided at your present address?
Have you...	Obtained a CA Driver's License or ID? Filed a CA state income tax return? Voted in CA?
I wish to enroll in the following classes:
Course 1	Course Title Class Number - 5 digit number Instructor Room
Course 2	Course Title Class Number - 5 digit number Instructor Room
Course 3	Course Title Class Number - 5 digit number Instructor Room
Course 4	Course Title Class Number - 5 digit number Instructor Room
HEALTH FEE $17 All noncredit students taking classes at the San Marcos campus or the Escondido Education Center will be required to pay the health fee. Payment of this fee entitles the student to Palomar College Health Services at the San Marcos campus and Escondido Education Center. PARKING Noncredit students attending any class, any time, day or evening, 7 days a week, at the San Marcos campus or Escondido Education Center are required to display a parking permit. Please see cashier.