Registration and Course Transfer Agreement Form

  • Guest Student Registration is only allowed for Winterim and Summer Courses.
  • Registration for Winterim classes is restricted to one class.
  • All Guest Students will be considered Non-Degree seeking.
  • GI Bill recipients please check with your VA Certifying official.

NOTE: First-time students and returning students out over a year with our colleges must first complete an Application for Admission.

Asterisk (*) indicates a response is required.

Friday, October 19, 2018 08:53
 
:*
(please select one)
CCC MCC SCC
 
:*
(please select one)
Winterim  Summer
 
:* Yes  No
 
*
*
*
 

*  
 
:*
 
(If different from above)
 
:*
 
:*
 

* New Student   (OR)   Returning Student

 
Below is an example of a course listing and how the course information should be entered into the form.
Example of a course listing
Below is an example of how to enter an ONLINE course listing into the form.
Example of how to fill in the form

Below is an example of how to enter an ON CAMPUS course listing into the form.
Example of how to fill in the form


Section Name & Title Location Meeting Information Credits
 
:*

*  

It is my understanding that upon the completion of the course(s) listed above at Clinton, Muscatine or Scott Community College for the Winterim or Summer term, I will need to submit a transcript request at www.eicc.edu/transcriptrequest in order for my courses to be forwarded to the college I am currently attending. I have the necessary course pre-requisites for these courses and understand the transfer status of the course(s) that I plan to complete.

PLEASE NOTE: Submitting this application is considered the same as a written signature.

   *

Refunds

Students who withdraw from the class(es) and complete the necessary procedure will be entitled to a refund of tuition according to the following schedule:

  • 75% Refund - prior to the end of the first week of classes (2nd class day of summer and short-term sessions)
  • 50% Refund - prior to the end of the second week of classes (5th class day of summer and short-term sessions)
  • Contact the Business Office for details.