Noncredit & Community Education

SPRING2018

REGISTRATION OPEN NOW!

CONTINUING EDUCATION & LIFE LONG LEARNING

at College of the Siskiyous

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ABOUT CONTINUING EDUCATION & LIFE LONG LEARNING.............................................p2

COMMUNITY EDUCATION (FEE-BASED COURSE OFFERINGS).......................................p4

• Registration and Policy Information..................................................................... .................p3

• Schedule of Classes - Spring 2018.........................................................................................p4

NONCREDIT COURSE OFFERINGS – NEW THIS SPRING...................................................p5• Tuition Free

• Financial Barriers are eliminated

• Repeatability with the Courses Offered

• Relaxed Learning Environment for First-Time College Attendees

• Vocational, Workforce, Manufacturing, Technology, Business, Innovation and Energy & Sustainability related skills & Certificate Opportunities

• The noncredit education program and courses are designed for students who do not need or want college unit credits at a particular point in their educational career.

• We plan on offering noncredit certificates- which will prepare you with skills to keep the job you want and stay current with marketplace and workplace skills. Our certificates will consist of a series of short course offerings that have been carefully selected to provide you with the training you need to get a job, advance your job, and/or provide you with the skills you need to grow your own business.

• Our career skills courses are packages together to enable you to earn a certificate in the future, demonstrating that you have mastered new skills.

• Health and Wellness! A new, healthy journey through noncredit at COS

• Register for two or more classes, and participate in our workshops hosted throughout the semester to help you along in your journey to health, wellness, relaxation, mindfulness, stress reduction, healthy eating habits, and physical well-being and balance.

ABOUT CONTINUING EDUCATION & LIFE LONG LEARNING Continuing Education is an umbrella term that includes noncredit education & lifelong learning courses, and our community education, and contract education (fee based) courses. The College of the Siskiyous Life Long Learning Program provides the opportunity for lifelong learners to improve, upgrade, and learn new skills and knowledge. This effort responds to the need for a well-trained workforce, as well as the individual need for intellectual or cultural enrichment. Life Long Learning courses are also easy, fun, and cost-effective. Classes offered will be held in a variety of locations throughout Siskiyou County. Classes are offered throughout the year and are scheduled based on availability of instructors and interested students.

College of the Siskiyous Continuing Education & Life Long Learning

800 College Avenue Weed, CA 96094 (530) 841-5834 www.siskiyous.edu/continuinged/

If due to a disability, you need this material in an alternative format, please contact the Disabled Student Services Office, (530) 938-5297, Eddy Hall 1.

The Siskiyou Joint Community College District (College of the Siskiyous) does not discriminate against any person on the basis of race, color, national origin, sex, religious preference, age, disability (physical and mental), pregnancy (including pregnancy, childbirth, and medical conditions related to pregnancy or childbirth), gender identity, sexual orientation, genetics, military or veteran status or any other characteristic protected by applicable law in admission and access to, or treatment in employment, educational programs or activities at any of its campuses. College of the Siskiyous also prohibits harassment on any of these bases, including sexual harassment, as well as sexual assault, domestic violence, dating violence, and stalking.

TABLE OF CONTENTS

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COMMUNITY EDUCATION College of the Siskiyous offers a number of community education and continuing education classes for personal enrichment and skill development. These classes are offered as “fee-based” classes. Classes offered are in areas of public interest and are open to the entire community. Community Education offers the student countless ways to benefit from the experience and expertise of our instructors and industry specialists who teach our classes. Classes in community education are offered throughout the year and are also scheduled based on availability of instructors and interested. Check the website often for updates.

COMMUNITY EDUCATION – HOW TO REGISTER FOR CLASSESAvoid the frustration of a canceled class and sign up early!Most classes are required to have 10-15 fully-paid students enrolled a week before the class starts to allow the class to run. If your class is cancelled, you will receive a refund in the mail. We will attempt to contact all affected students in the case of a cancelled class.

Important: When you register for a course at COS, you will be given a COS student email address. This is how the campus will communicate with you regarding changes to your class, cancellations and other information. Be sure you know how to access this email account and read it regularly or have it forwarded to an email address you do read regularly.

REGISTERING ONLINESTEP 1: APPLYComplete a COS Web Application. If you have already applied to COS and have a student account, skip to Step 2. First-time COS students must submit an Admissions application using CCCApply. Submit the application online and print a copy of the confirmation page for your records. This will give you a CCC ID number. Then you will need to apply to College of the Siskiyous specifically. Within 24 hours, you will receive an email with your College of the Siskiyous Student ID and Username.

STEP 2: REGISTER• Once you receive your email, log into your mySiskiyous account using your Username

and your password. Your password will be your six-digit date of birth in this format MMDDYY (for example: 011585). You will have the option to change it. Log into your mySiskiyous account and become familiar with your new student account.

• Previous students or students applying for regular admission may register for the class through mySiskiyous on the home page www.siskiyous.edu. Community Education classes will be found with (X) following the genre of class in the Subject box. Noncredit and Life Long Learning class information is listed (Course / CRN). Registration assistance is available by calling (530) 938-5500. mySiskiyous assistance is available by calling (530) 938-5523. Students may also use one of the following methods to register for community education and Noncredit/Life Long Learning classes:

COMPLETE THE REGISTRATION FORM (BACK PAGE) AND USE ONE OF THESE OPTIONS:

Email form as an attachment to registration@siskiyous.edu - requires credit card payment information.

Fax form to (530) 938-5367 - requires credit card payment information.

Mail form to COS Registration, 800 College Avenue, Weed, CA 96094 - credit card or check.

Or, take the completed Registration Form and payment to the Admissions & Records Registration window in the John Mantle Student Center on the Weed Campus or the Yreka Campus Business Office – payment accepted: credit card, cash, or check.

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2018 COMMUNITY EDUCATION SPRING & SUMMER CLASSES

This class list is subject to change based on availability of instructors and number of registered students. Payment for classes is due upon registering.

ART OUTSIDE OF THE BOXXAC 0301 / CRN 3446 and CRN 3447 - Taught by Gita LloydStudents creatively explore visual art forms with fun and mind-expanding lessons in drawing, painting, collage, sculpture, installation and collaborative art. This class includes a discussion of artistic masterpieces by well-known artists. Students will also learn how to look at and critique works of art, including those made in class.

THE COS OPEN STUDIO SESSIONSXAC 0301 / CRN 3444 & CRN 3445 - Taught by Gita LloydThis class will give you plenty of opportunity for mentoring with artist Gita Lloyd. Sessions will include a weekly variety of topics with exercises including sketching, painting, sculpting and building techniques; discussion of the art making process and looking into our shared artistic history. Together we will create a working studio atmosphere where the focus will be on the individual. Get in contact with who you are as an artist? What do you want to make? How and with what materials will you make it? What can you do to improve? What can we find out when we work together as a group?

SENIOR THEATER PRODUCTIONXMT 0316 / CRN 3333 - Taught by DeLeon GrabowskiRehearsal and performance of a community theatre production. Students will participate as actors, writers, and/or technicians. The process includes auditioning, rehearsing, developing characters, directing, and performing in COS theatre productions.

Monday and Wednesday: 1/30 – 5/16Time: 3:15 - 4:45 PMLocated at the COS Weed Campus, Theater Building, Room 4Cost to participate is $75.00

FOLK GUITARXMT 0311 / CRN 3448 – Taught by David N. LloydThis course covers basic folk guitar techniques, with emphasis on performance. Skills include chord fingering, singing, picks, and strums. Total beginners and minimally experienced players are welcome.

Thursdays: 2/1 – 2/22Time: 6 – 8 PMLocated at the Yreka Campus TC Room 2Cost to participate is $35.00

BASIC RV REPAIR- HOW TO KEEP IT OUT OF THE SHOP AND ON THE ROADRegistration Information Non Available (To Be Announced) - Taught by: Randy GibbonsThe course will include: 1) an introduction to basic RV repair of all appliances and systems including solar; 2) hands on instruction for electrical instruments used in diagnosis and trouble-shooting; 3) individual repair manuals tailored to your own RV systems included; 4) skills and materials used in winterization and weatherproofing; and, 5) schedule of annual maintenance needed to keeps repairs to a minimum.

Mondays: 3/5 – 4/30 (8 week session)

Series I (CRN 3446)Mondays: 2/5, 2/12, 2/19 Time: 10:30 AM -12:30 PMLocated at COS Yreka Campus Room TBACost to participate is $35.00

Series II (CRN 3447)Mondays: 4/30, 5/7, 5/14, 5/21 Time: 10:30 AM -12:30 PMLocated at COS Yreka Campus Room TBACost to participate is $45.00

Series I (CRN 3444)Saturdays: 3/3-3/17 Time: 1 -4 PMLocated at COS Yreka Campus Room TBACost to participate is $50.00

Series II (CRN 3445)Saturdays: 4/7, 14, 21, 28, 5/5, 5/12 Time: 1 - 4 PMLocated at COS Yreka Campus Room TBACost to participate is $100.00

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Time: 6 – 8 PMLocated at the Yreka Campus in the TC building,Cost to participate is $75.00 (includes materials - meter, test light and manual). This course will build into a noncredit course and a future career pathway certificate.

INTRAMURALS (REC BASKETBALL)XFW 0306 / CRN 3332 – Taught by Tom PowersA class which covers the fundamental techniques of selected recreational activities and sports. Focus will be on the sport of Basketball. Individual offensive and defensive skills, team strategies are covered. Tournament play is included.

Tuesday, Thursday, and Sunday: 2/6 – 5/24Time: 7:25 – 8:50 AMLocated at the COS Weed Campus GymCost to participate is $20.00

BALLROOM DANCE XFW 0310 / CRN 3450 - Taught by Rick & Peggy Nixon Ballroom Dance is an introductory course to cover a variety of dances over the course of five-weeks. Dances to be covered include: Foxtrot & Rumba (Week 1); Tango & Cha-cha (Week 2); Waltz & Samba (Week 3); Swing & Salsa (Week 4); and, Nightclub Two Step & Bolero (Week 5)

Tuesdays: 2/6 – 3/13Time: 6:30 – 8:30 PMLocated at the Yreka Campus, Room 7Cost to participate is $50.00

DANCE FOR FUN & FITNESSXFW 0303 / CRN 3449 - Taught by Dean Black StartThe focus of this eight-week class will be on Square Dancing. Square Dancing is a good, social activity to be enjoyed by all ages as a single individual or as a couple. In the United States, Square Dancing is considered by many to be the official American folk dance. Students will learn basic square dancing using a wide-variety of music including modern, pop, and country.

Thursdays: 2/1 - 3/22 (8 week session) Time: 7 – 9 PMLocated at the Yreka Campus, Room 7Cost to participate is $35.00

DRONE ACADEMYXBC 0312 / CRN 5032 – Taught by Mike Graves and Charlie Miller This course mixes classroom instruction on Drones with an equal number of hours of actual Drone flight time. Students will learn about the functions and controls of Drones as well as learn basic flight operations in the field. The classroom and flight instruction will focus on registering Drones, Drone laws, rules for recreational & commercial use, Drone setup, maintenance, take-offs, landings, flying, shooting video/pictures, and video editing.

Friday & Saturday: 4/6- 4/7Time: 9 AM – 3:50 PMLocated at the COS Yreka Campus, TC Building Room TC II and Siskiyou County FairgroundsCost to participate is $80.00

NONCREDIT - TUITION FREE COURSES

The goal of adult education in California is to provide citizens of every age and educational level the opportunity to develop civic responsibility, a realization of the human potential, effective human relationships, and economic self-sufficiency. Noncredit courses often appeal to students who are unclear about their educational goals and may have significant work or family demands. Noncredit may serve as first point of entry for many underserved students as well as transition point to credit instruction. The course roster featured in this brochure is for the upcoming spring semester 2018.

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WHAT IS NONCREDIT?• Noncredit education is designed to supplement your continued growth and to enhance

your employment opportunities through classes, ranging from basic skills, health care, health & wellness, to short-term vocational, workforce prep training and job retraining, those looking to obtain a high school diploma or equivalency, and individuals with disabilities through specifically targeted courses. Enrollment in noncredit is FREE and continues throughout the year. All noncredit classes are subject to budget and attendance. Noncredit is “open access” and exit and does not require official letter grades. Noncredit courses are repeatable. Noncredit is open to all individuals from diverse backgrounds and those seeking ways to improve their earning power and access to higher education.

• Noncredit courses are actual credit courses but not transferrable. Noncredit offers a

bridge and educational transition to credit classes, through skill building courses

• Noncredit courses serve the needs of students, parents, older adults, and those looking to obtain a high school diploma or equivalency, and increase basic or job-specific skills. Noncredit courses may serve as first point of entry for many students, as well as a transition point to credit instruction. Noncredit is also for individuals with disabilities looking for an opportunity to increase their skills through specifically targeted courses.

• This broad goal forms the basis for the courses and programs the College of the Siskiyous offers and is working on offering in each of the authorized categories of noncredit instruction which include: English as a Second Language (ESL), elementary and secondary basic skills, citizenship, health and safety, older adults, parenting, special education for adults, short-term vocational, home economics (consumer science), and workforce preparation

NONCREDIT IN DETAIL

Where do classes meet? Most classes meet at the Yreka campus and the Weed campus. A few classes will be held in local communities. Addresses will be given for the classes that meet off campus. The goal in the future is to offer our noncredit courses countywide, to better serve our community.

Who may attend? You may enroll if you are an adult California resident

When are classes offered? Class start and end dates vary throughout the semester. Be certain to check class dates listed in the schedule carefully, so you don’t miss the class that you want to take. Please review the current schedule of classes area of the website.

Classes may be cancelled due to low enrollment, campus closures, emergencies, or other reasons:

*Please check the college website for current updates and check with instructors on class cancellation and class cancellation notification policy and procedures.

Schedule of classes: Is available on the class schedule tab with all of our other scheduled classes. We will also include a PDF of our noncredit extended & lifelong learning brochure for your viewing when it is available.

Who teaches the classes? Noncredit classes are taught by instructors who meet state qualifications. They have educational backgrounds and professional experience in their fields.

Applying for noncredit: You may apply online or students of College of the Siskiyous may also visit the office of enrollment for the one page application and for enrollment assistance.

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2018 SPRING NONCREDIT COURSE OFFERINGS

Contact the Continuing Education Office by email: continuingeducation@siskiyous.edu for additional information.

UNDERSTANDING DRUG & ALCOHOL ABUSE TREATMENTSADS 501 / CRN (not assigned)A course designed to create an understanding of drug and alcohol abuse from a sociological and physiological perspective. Students will learn about various aspects of recovery and the recovery process. Topics will include: treatments, detox processes, support groups, and post-recovery issues.

Begins – TBADays / Times – TBALocation – TBAInstructor – TBA

CONFLICT & ANGER MANAGEMENTADS 502 / CRN (not assigned)A course designed to create an understanding of drug and alcohol abuse from a sociological and physiological perspective. Students will learn about various aspects of recovery and the recovery process. Topics will include: treatments, detox processes, support groups, and post-recovery issues.

Begins – TBADays / Times – TBALocation – TBAInstructor – TBA

STRATEGIC THINKING, DECISION MAKING AND PROBLEM SOLVINGBA 505 / CRN 3418 This course is designed to prepare students to effectively strategically think and problem solve, and provides and introduction to decision-making and problem-solving techniques in the workplace. Specific strategies for making decisions and solving problems will be presented, as well as the use of creativity in identifying solutions.

Mondays: 2/12 – 5/21Time: 5:30 - 7:45 PMLocation: Yreka Campus Room 5 Instructor: Kori Novak, Ph.D.

BEGINNING COMPUTER SKILLSCSCI 501 / CRN 3410A course designed to assist students and strengthen student computer skills needed in the 21st Century workplace. This lab will provide individualized instruction in a self-paced environment. Coursework specific to a student’s area of study will be evaluated.

Tuesdays: 1/30 – 5/22 Time: 4 - 6 PM Location: Yreka Campus Room TC 1 Instructor: Larry Glenn

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INTRODUCTION TO THE INTERNET OLAD 510 / CRN 3419This course serves the older adult student. In a course that offers a survey of the concepts and techniques of the internet presented in an unhurried, non-competitive environment. Older adult students learn how to access the web, use e-mail, surf the web using browsers, participate in social media, conduct research using search engines, and create a web page or blog.

Wednesdays: 1/31 – 5/23Time: 3:30 - 5:30 PMLocation: Yreka Campus TC 1 Instructor: Segal Shaw

BASIC SOCIAL SKILLS: GETTING ALONG WITH OTHERS IN THE WORKPLACEDSPS 503 / CRN 3409 This is a fundamental course designed for adults with substantial developmental disabilities, with an interest in maintaining realistic and meaningful employment and social connections. Students need to learn the skills in order to create good working habits, workplace diversity, communicate needs, and interact appropriately with co-workers and supervisors. A working knowledge of basic reading, writing, and math skills is recommended. Wednesdays: 1/31 – 5/23 Time: 4 - 6 PM Location: Weed Campus Emergency Services Training Center (ESTC) Room 8-107 Instructor: Leon Teeboom

MATHEMATICS WITHIN INDUSTRY WORK 503 / CRN 3417 This course prepares students for mathematical concepts encountered in various trades. These concepts include, but are not limited to, money skills, measurements, temperatures, computing taxes, decimals, percentages, estimating dollar amounts and volume of materials needed, area and calibration equations. Mondays: 2/5 – 5/21 Time: 6 - 8:15 PM Location: Yreka Campus Room 4 Instructor: Chelsea Hall

STRESS MANAGEMENTHEA 521 / CRN (not assigned)A study of the key elements of stress management. Topics will include the recognition of stress, causes of stress, benefits of stress management, and the psychological components of stress. Various stress management techniques will be covered. Days/Date – (TBA) Time: (TBA) Location: Yreka Campus Room TBA Instructor: TBA

BUILDING BUSINESS WEBSITESWORK 511 / CRN 3442 and CRN 3443An introductory hands-on project based website development course for the business office. Students will plan, format, develop, and publish a basic business a basic business website using Adobe Muse web and other web development software. Students will add text, images, media, widget, navigation elements, and links to a website.

Series I (CRN 3442) Wednesdays: 1/31 – 5/23Time: 5:45 - 7:45 PMLocation: Yreka Campus TC I Instructor: Segal Shaw

Series II (CRN 3443)Tuesdays: 1/30 – 5/22Time: 11 AM – 1 PMLocation: JEDI Mt ShastaInstructor: Segal Shaw

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HEALTH EDUCATION HEA 0525 / CRN 3405Practical information, effective strategies, and skills that teach the student how to practice good nutrition, manage personal health, and maintain an active, healthy lifestyle in the later years. This short-term course will focus on health and include an active exercise, circuit/interval training component.

Mondays: 2/5 – 5/21Time: 5:45 – 8 PM Location: Yreka Campus Room 7Instructor: Katie Woodward

PSYCHOLOGY OF PERSONAL AND SOCIAL ADJUSTMENTPSY 503 / CRN (not assigned)This course is designed for the older adult. This course defines the dynamics of personality, belief systems, and issues with adjustment to life stresses, effects of interpersonal relationships, ego defense mechanism, behaviors under emotional tension, and what motivates behavior.

Days/Date: (TBA)Time: (TBA) Location: Yreka Campus Room (TBA)Instructor: Lauri Hunner

CULINARY ARTS AND HOSPITALITY STUDIESHOSP 501 / CRN 3416 Introduction to kitchen basics, such as equipment use, safety, and sanitation. In addition, this course focuses on culinary fundamentals such as knife skills, classic cooking methods and preparation, vocabulary and basic kitchen math. Includes Safe Serve Food handlers Certification.

Tuesdays: 2/6 – 5/22Time: 5:30 – 8 PM (two Saturday classes)Location: Kahtishramm Wellness Center (located in Yreka off Oberlin road) Instructor: Jenna Marshall

LIFE STORY WRITING - OLDER ADULTS ENGL 0599 / CRN 3408This course is designed to help older adults find, capture, and write the stories of their lives. Course will include activities to help writers get started, to activate vivid memories and engage cognitive processes to sharpen writing skills which help to maintain mental health and reduce cognitive decline. Steps in rewriting, and ways to get manuscripts into print will be included.

MIND BODY HEALTH OLAD 502 / CRN 3406Through lecture, discussion, practice, techniques and physical activity, older adults will learn about the mind body connection. Through the active pursuit of physical and psychological health practices, and/or Yoga, core activities and exercise’s, the student will learn key aging concepts and stress reduction concepts.

Wednesdays: 2/7 – 5/23Time: 5:15 – 7:15 PMLocation: Yreka Campus Room 7Instructor: Kim Freeze (this class includes Yoga Flow and Restorative Yoga)

BODY DYNAMICS AND THE AGING PROCESS I OLAD 0531 / CRN 3404, CRN 3401, and CRN 3402Through lecture, demonstration and practice students learn strategies for implementing physical activity program techniques for stress reduction, and key healthy aging concepts such

Series I Tuesdays: 1/30 - 5/22Time: 10 AM – 12 PMLocation: Weed Campus ASC Lab/Loft Instructor: Jim Corcoran

Series II Wednesdays: 6/6Time: 9 AM – 12 PMLocation: Yreka Campus Room 5 Instructor: Jackie McNamara

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as nutrition and disease. The class is designed for the older adult and offers instruction in movement to increase range of motion, build muscle strength and cardiovascular endurance, and maintain coordination, flexibility and balance.

Series I (CRN 3401) Tuesdays and Thursdays: 1/30 – 5/24Time: 11:30 AM – 1 PMLocation: Yreka Campus Room 7 Instructor: Tammy Stoltenburg

Series II (CRN 3402) Tuesdays and Thursdays: 1/30 – 5/24Time: 4 – 5:30 PMLocation: Yreka Campus Room 7Instructor: Tammy Stoltenburg

Series III (CRN 3404) Mondays and Fridays: 2/2 – 5/21Time: 10 AM – 11:30 PMLocation: Yreka Campus Room 7 Instructor: Jann Ward

PRINCIPLES OF BALANCEOLAD 504 / CRN 3403, CRN 3414, and CRN 3415The risk of injury and death due to fall increases as one ages. In this beginning class, students will learn ways to improve balance and reduce risk of falling as they age, through lecture, discussion, demonstration, and practice based on principles such as yoga, strength and core conditioning.

Series I (CRN 3403) Mondays and Wednesdays: 1/31 – 5/16Time: 4 – 5 PMLocation: Yreka Campus Room 7 Instructor: Jann Ward

Series II (CRN 3401Mondays and Wednesdays: 1/30 – 5/24Time: 1:30 - 2:45 PMLocation: Yreka Campus Room 7 Instructor: Jann Ward

Series III (CRN 3415)This is a LEVEL III circuit style class and will involve more dynamic movementMondays and Wednesdays: 2/2 – 5/21Time: 12 – 1:15 PMLocation: Yreka Campus Room 7Instructor: Jann Ward

MIND BODY HEALTH OLAD 502/ CRN 3407Through lecture, discussion, practice, techniques and physical activity, older adults will learn about the mind body connection. Through the active pursuit of physical and psychological health practices, and/or Yoga, core activities and exercise’s, the student will learn key aging concepts and stress reduction concepts.

Tuesday: 1/30 - 5/22Time: 5:30 – 7:30 PMLocation: Yreka Campus Room 7 Instructor: Karli Huntley

Community Education Class Registration Form

Directions: To be used by Registrar permission only – current information must be online.

College of the Siskiyous Admissions and Records

Weed Campus: 800 College Avenue, Weed, CA 96094 (530) 938-5555 Fax: (530) 938-5367 Email: registration@siskiyous.edu

1. COS S# or SSN:

2. Legal Name

Last:

First:

3. Demographic Information

Date of Birth:

Gender: Male Female

4. Mailing Address

Street:

City: State:

ZIP: Phone:

Email:

5. Citizenship

US Citizen Refugee/Asylee (NUSC)

Permanent Resident (NUSC) Student Visa F1 M1 (NUSC)

Temporary Resident (NUSC) Other Status (NUSC)

6. Ethnicity – Mark all that apply.

Asian Mexican / Mex-Am / Chicano

Chinese Central American

Asian Indian South American

Japanese Other Hispanic

Korean Other Non-White

Laotian Pacific Islander

Cambodian Guamanian

Vietnamese Hawaiian

Other Asian Samoan

Black Non-Hispanic Other Pacific Islander

Filipino White / Non-Hispanic

Hispanic Declined to state

American Indian / Alaskan Native

7. Directory Information

May the College release information regarding your attendance and residence to outside inquiries? This information would include your name, address, phone number, class schedule, and participation in COS activities.

Yes No

8. Residency Information

Are you a California Resident? Yes No

Driver’s License #

State:

Do you work for a California law enforcement or Fire agency? Yes No

If yes, City Department.

Length of Time you have lived in CA:

Do you intend California to be your permanent home? □ Yes □ No

If no, specify state/country and dates:

Have you voted in another state/registered to vote in another state? □ Yes □ No

If yes, in what state?

Did you file CA State Income Taxes for the past calendar year? □ Yes □ No

Students under 19 years old and unmarried, have your parents continuously lived in California? □ Yes □ No

If no, when did your parents enter California?

Community Education Class Registration Form

Directions: To be used by Registrar permission only – current information must be online.

College of the Siskiyous Admissions and Records

Weed Campus: 800 College Avenue, Weed, CA 96094 (530) 938-5555 Fax: (530) 938-5367 Email: registration@siskiyous.edu

9. Student Type

First-time I’ve ever enrolled in college

First-time COS, previously attended another college

Returning to COS after an absence of one or more items

Continuing from last semester or summer session

K-12 Special Admit-School

10. Educational Goal

Obtain a Bachelor Degree after earning Associate Degree

Obtain a Bachelor Degree without earning Associate Degree

Obtain an Associate Degree (non-transfer)

Obtain Vocational Associate Degree (non-transfer)

Obtain Vocational Certificate (non-transfer)

Advance in Current Job/Career (update job skills)

Maintain Certificate or License

Educational Development

Improve Basic Skills (English, Reading, or Math)

Undecided on goal

11. Educational Level

Non-High School Graduate

Currently Attending High School or Below/Grade:

Attending Adult School

High School Graduate

Received GED or HS Certificate of Equivalency/Completion

Received California High School Certificate of Proficiency

Foreign School Diploma/Certificate

Associate Degree

Bachelor Degree or Higher

12. VTEA Status-please answer:

Are you economically disadvantaged? □ Yes □ No

If yes check any of the following economic assistance programs?

TANF SSI General Assistance

Single parent with custody of a minor child

Displaced homemaker

Registering for Cooperative Work Experience

Migrant worker or a child of a migrant worker?

Registering to improve Basic Skills?

13. Are you an honorably discharged Veteran?

□ Yes □ No

If yes, Discharge Date ______________________

Student Military Status Parent/Guardian Military Status

Currently on active duty Currently on active duty

Veteran Veteran

Member of Active Reserve Member of Active Reserve

Member of the Nat. Guard Member of the Nat. Guard

14. Foster Youth?

Are you a foster youth? □ Yes □ No

15. Parent/Guardian Educational Level

Parent/Guardian 1 Parent/Guardian 2

Grade 9 or less Grade 9 or less

Some High School Some High School

High School Graduate High School Graduate

Some College Some College

Associate Degree Associate Degree

Bachelor’s Degree Bachelor’s Degree

Grad or Prof Degree Grad or Profession Degree

Not Applicable Not Applicable

CRN Course Number

I verify that I am responsible for the course choices listed above and

that I have read any advisories in the COS Catalog. The information

on this application is true and correct to the best of my knowledge.

Falsification of any information may result in my dismissal from

classes. I acknowledge I am responsible for payment of all fees

related to the course(s) above.

_____________________________________ ______________ Student Signature Date

Please list the courses you wish to attend, with

CRN (Course Registration Number) and Course

Title

Entered by: __________ Date: __________

Office Use Only

ContactKim FreezeDirector Noncredit, Community & Contract EducationPhone (530) 841-5834Email ContinuingEducation@siskiyous.edu

Visit us online at

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www.siskiyous.edu/continuinged/