North Central Kansas Technical College
Summer Online Education - Enrollment Form

Directions:

1. Please complete all questions as completely and accurately as possible
2. Submit this application
3. Pay a $101.50 per credit hour enrollment fee that must be paid before enrollment can be completed. Deadline for all class enrollment and payment is June 3, 2010.

The North Central Kansas Technical College does not discriminate on the basis of sex, race, color, religion, national origin, age, handicap or marital status in admission or access to, or treatment of, or employment in its programs and activities. If you have questions regarding the below, please contact the NCKTC Dean of Student Services (1.800.658.4655).

GENERAL ENROLLMENT INFORMATION:

* Indicates the question is required to submit the form.

Step 1:  Please complete all questions as completely and accurately as possible.
Semester  
*Today's date
*Last name
*First name
Middle Initial
*Email address
Note: Your E-mail address must be accurate as you will receive confirmation at this address.
*Telephone Number
* Cell Phone Number
* Address
*City
*State
*Zip
 
* Is this your first On-line Course?:
Have you previously attended NCKTC?:
If Yes, dates attended: (Yr.)
* Payment Method?
NCKTC SUMMER ONLINE COURSES

Summer 2010 Classes Begin June 7, 2010 unless otherwise noted!
Book Purchases Required BEFORE Classes Begin!
Enrollment will NOT be finalized until payment is received!! Class sizes are limited.
Pay TODAY to reserve your seat!!
Deadline for all class enrollment and payment is June 3, 2010.
Course Title Cr Hours Instructor
COM 103  English Composition I - closed for summer enrollment 3 Hrs C. Bertuccelli
HE 230  Principles of Nutrition- closed for summer enrollment 3 Hrs J. Verdugo
SS 100  General Psychology- closed for summer enrollment 3 Hrs C. Mennenga
SS 105  Human Growth and Development - closed for summer enrollment 3 Hrs C. Mennenga
SOC 135  Sociology- closed for summer enrollment 3 Hrs C. Witt
BMGT 108 Business Management- closed for summer enrollment 3 Hrs S. Hill
CIS-108 Advanced Computer Applications - closed for summer enrollment 3 Hrs S. Hill
MA-111 College Algebra- closed for summer enrollment 3 Hr M. Pahls
COM 210 Medical Terminology- closed for summer enrollment 3 Hr B. Dechant
HS-105 Dementia Care (July 5 - August 13) 1 Hr D. Offutt
HS-102 Person Centered Care (August 16 - September 24) 1 Hr D. Offutt
OSHA 110 OSHA 10 hr Certificate 1 Hr Online
   
Please review the information above and make sure that the information is accurate and up-to-date.
Enrollment will NOT be finalized until payment is received!!
Deadline for all class enrollment and payment is June 3rd.

Book purchases are required BEFORE classes begin!!!

Step 2: Submit this application

Step 3: Pay Online Tuition with PayPal
Online Tuition per Credit Hour

Once this information is submitted it will take at least two business days to process. Please contact the Cashier (1.800.658.4655 ext.003) with payment information as your enrollment will be held until full payment is received.  You will receive an email acknowledging your completion of the form, full payment and your inclusion into the classes you have selected.

If you are not enrolled into the selected classes you will be notified and further information about when and if you will be able to take the classes will be emailed within two business days of your completion of the form.