FVCC COURSE REQUEST FORM 2021/2022 SCHOOL YEAR
Online Course Requests for Current and Incoming High School Students from Batavia, Central, Geneva, Kaneland, St Charles, East Aurora and West Aurora

* PLEASE COMPLETE ALL QUESTIONS - INCOMPLETE FORMS WILL BE REJECTED DURING SYSTEM UPLOADS *
Please select your high school *
Student Last Name *
Student First Name *
Please choose the grade you will be in the Fall of 2021 / entering the next school year. *
Student Cell Phone
Student email (not your school email as those are turned off during the summer **IMPORTANT INFORMATION WILL BE SENT TO THIS EMAIL ABOUT YOUR COURSE OVER THE SUMMER - BE SURE TO CHECK THIS ACCOUNT STARTING IN JULY!! **) *
Student email (can be a school email) *
Parent / Guardian 1 First and Last Name *
Parent / Guardian 1 email *
Parent / Guardian 1 Phone Number *
Parent / Guardian 2 First and Last Name
Parent / Guardian 2 email address
Parent / Guardian 2 phone number(s)
Street Address *
City *
Zip Code *
Gender *
Birthday mm/dd/yyyy *
T-Shirt Size *
Ethnicity/Race *
Required
Course Request #1 *
Alternative course #1 selection (type in course title)
Course Request #2 -- If you want to take 2 FVCC courses next school year please complete 2 separate forms. Thank you! *
Submit
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