Workshop Registration

This form is for campus workshops and ed2go classes only.
If you are signing up for online classes (CCCOnline) DO NOT fill out this form.
Instead, visit https://at.ccconline.org/register/ [2] to register for an account, and ensure that you have completed steps 1-6 at www.dawson.edu/online/online-degrees [3]

Email: *

First Name: *

Middle Name:

Last Name: *

Have you attended DCC before: *

If yes, under same name:

Previous name:

Date of Birth: *

Address 1: *

Address 2:

City: *

State: *

Zip: *

Phone: *

Cell Phone:

Enter:

course number
course name to ensure proper registration
course reference number (CRN)

If none are listed enter only the course name.

Workshop 1

Course Number:

Example: AR1891 (AR=Art Department, 1891= Workshop or Class number)
(Use CSC=Community Service Course as Course Number if no course number is listed)

Course Title:

Example: Stain Glass-Make it in a Day

CRN Number:

Example: CRN50014 (CRN=Course Reference Number, 50014=Montana University system reference)

Workshop 2

Course Number:

Example: AR1891 (AR=Art Department, 1891= Workshop or Class number)
(Use CSC=Community Service Course as Course Number if no course number is listed)

Course Title:

Example: Stain Glass-Make it in a Day

CRN Number:

Example: CRN50014 (CRN=Course Reference Number, 50014=Montana University system reference)

Workshop 3

Course Number:

Example: AR1891 (AR=Art Department, 1891= Workshop or Class number)
(Use CSC=Community Service Course as Course Number if no course number is listed)

Course Title:

Example: Stain Glass-Make it in a Day

CRN Number:

Example: CRN50014 (CRN=Course Reference Number, 50014=Montana University system reference)

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