The Challenge Program for Adults with Developmental Disabilities

The Challenge Program
For Adults with Developmental Disabilities
These unique courses will help adults with developmental disabilities function more independently in the home,
at work, and in the community. Of equal importance, students will have the opportunity to increase their social
and community awareness by visiting Montgomery College and learning what it has to offer.
Before attending Challenge courses, please inquire at the Campus Center Building, Room 220,
Rockville Campus for information regarding class time changes, date changes, course cancellations,
or classroom changes. Please register on time, classes fill quickly.
Limited scholarships available.
NEW CLASSES INCLUDING:
• Exploring Americas National Parks
• Famous Classical Composers—
Their Music in Past and Present
• Natural Disasters
• Upcycle Art
• Wild About Animals
• Women Who Have Shaped History
Student Expectations
Students are expected to be able to
navigate campus independently and
must abide by the student code of
conduct. Any violation may result in
disciplinary action, including dismissal
from the program.
Workforce Development & Continuing Education
FALL 2016
Course Schedule
Amazing Chemistry Experiments
Exploring Americas National Parks
Life Skills, Career Education, and Steps to
Independent Living
Wild About Animals
Current Events: What Current Ideas Can
Teach Us
Exploring Jobs
Drawing and Writing through History
Join Our Book Club!
Natural Disasters
Women Who Have Shaped History
Introduction to Dance
Nutrition for Health, Fitness and Sports
Basic Reading and Writing
Beginning Spanish: Hola, bienvenidos!
Hello, come join us!
Building Reading Skills
Chorus—Introduction
M
M, W
M, W, F
T
T
W
W
W
W
R
R
F
F
F
F
Course Name
M
Days of
Week
1–2:30 p.m.
12–1:30 p.m.
10:45 a.m.–12:15 p.m.
9–10:30 a.m.
5:15–6:45 p.m.
1–2:30 p.m.
1–2:30 p.m.
11 a.m.–12:30 p.m.
10:30 a.m.–12 p.m.
1–2:30 p.m.
5:15–6:45 p.m.
10:30 a.m.–12 p.m.
2:30–4 p.m.
9–10:30 a.m.
11 a.m.–12:30 p.m.
1–2:30 p.m.
Time
9/9–11/11
9/9–11/11
9/9–11/11
9/9–11/11
9/8–11/10
9/8–11/10
9/7–11/9
9/7–11/9
9/7–11/9
9/7–11/9
9/6–11/8
9/6–11/8
9/7–11/2
9/7–10/31
9/12–11/14
9/12–11/14
Dates
210 MU
126 HU
112 PE
201 CC
114 PE
216 SB
215 SB
216 CC
114 PE
009 SB
208 CC
128 HU
205 CC
216 CC
215 SB
009 SB
Room/
Bldg.
SPP266
SPP315
SPP271
SPP272
SPP287
SPP257
SPP365
SPP368
SPP292
SPP359
SPP262
SPP334
SPP284
SPP155
SPP367
SPP341
Course #
25957
25964
25958
25959
25960
25955
25970
25973
25962
25969
25956
25966
25961
25953
25972
25967
CRN #
Please note that the classes listed below are in order by the DAY OF WEEK the class starts.
See the DATES column for start and end dates.
2016 Fall Class Schedule at a Glance
K. Corcelius
R. Nalley
M. Schneider
M. Schneider
J. Solyst
K. Corcelius
K. Corcelius
S. Solyst
W. Sutch-Kiser
S. Solyst
J. Solyst
K. Corcelius
W. Sutch-Kiser
S. Solyst
S. Solyst
S. Solyst
Instructor
5
4
4
4
7
7
8
7
7
5
6
5
8
7
6
4
Pg.
10:30 a.m.–12 p.m.
1–2:30 p.m.
Famous Classical Composers—Their
Music in Past and Present
Introduction to Cartoon Character and
Anime Drawings
Upcycle Art
Essential Math Skills
Exciting Sports and Games for All
F
F
F
S
S
Effective Writing II
Reading and Vocabulary Building II
M, W
M, W
TAKOMA PARK/SILVER SPRING CAMPUS
MU=Music
TA=Theatre Arts Building
HU=Humanities
10:15–11:45 a.m.
1:15–2:45 p.m.
1–2:30 p.m.
2:45–4:15 p.m.
PE
114 PE
009 SB
009 SB
201 CC
009 SB
R=Thursday
9/13–12/8
9/13–12/8
9/12–12/7
9/12–12/7
SPP333
SPP349
SPP369
SPP167
SPP366
SPP304
TC=Technical Center
PE=Physical Education
SPP119
SPP139
SPP119
SPP139
25965
25968
25974
25954
25971
25963
E. Ackerman
E. Ackerman
E. Ackerman
E. Ackerman
S=Saturday
25949
25952
25950
25951
J. Solyst
J. Solyst
S. Solyst
S. Solyst
K. Corcelius
S. Solyst
8
8
8
8
6
6
8
6
6
5
SB=South Campus Instructional Building
HC=Health Science Center
F=Friday
215 SB
215 SB
120 HC
120 HC
CS=Computer Science Building
W=Wednesday
Building Abbreviations: CC=Campus Center
T=Tuesday
Reading and Vocabulary Building II
T, R
Day Key: M=Monday
Effective Writing II
T, R
ROCKVILLE CAMPUS
9/10–11/12
9/10–11/12
9/9–11/11
9/9–11/11
9/9–11/11
9/9–11/11
Fall 2016 Challenge Connecting Reading and Writing Schedule
12–1:30 p.m.
10–11:30 am
11 a.m.–12:30 p.m.
9–10:30 a.m.
Communications: Activities for Better
Communication
F
Amazing Chemistry Experiments
Chemistry is the heart of how things work; it’s the
science of change. Chemistry does not have to take
place in a lab. Did you know that chemistry can take
place right in your kitchen when you bake? Join us as
we create chemical reactions, devise new magic tricks
and create yummy treats while learning chemistry
concepts. You will ask questions, form hypotheses,
investigate, record, and share notes. Please bring a
folder with pockets, paper, pencil and comfortable
clothes as this class will get messy.
Course: SPP341
$156 + $64 fee = $220; NMR $140
Rockville Campus
CRN#: 25967
9/12–11/14
13 Sessions 1–2:30 p.m.
15 Hours
M
Rockville Campus
CRN#: 25959
9/9–11/11
10 Sessions 9–10:30 a.m.
15 Hours
F
Drivers Education
DID YOU KNOW that we offer
Driver Education for students with
moderate learning disabilities?
For more information, please contact
our Driver Ed department at 240-5671895 or visit us online at
http://cms.montgomerycollege.edu/
wdce/bits/driveredspecialneeds.html
4
Course: SPP271
15 Hours
Rockville Campus
You will learn basic reading comprehension skills,
build vocabulary, and develop writing skills. The
emphasis is on understanding main idea, sequence of
events, context clues, and basic grammar. You will gain
knowledge through interactive group work activities,
work sheets, and videos designed to engage you while
acquiring necessary reading comprehension skills.
$156 + $64 fee = $220; NMR $140
This course is designed to teach the basic Spanish
language phrases, numbers, weather, calendar, days
of the week, introductions, gender, pronunciation, and
more. This introductory class will help you enhance
your speaking and listening skills. Oral communication,
listening comprehension, and vocabulary development
are stressed. You will build your skills through
instructions, group activities, written exercises, and
intensive practice. This fun-filled immersion curriculum
will engage, entertain, and educate you in Spanish.
Studying a second language will help you develop an
appreciation for other cultures and is a valuable skill in
today’s competitive job market.
$156 + $64 fee = $220; NMR $140
Basic Reading and Writing
Course: SPP272
Beginning Spanish: Hola, bienvenidos!
Hello, come join us!
CRN#: 25958
9/9–11/11
10 Sessions F
10:45 a.m.–12:15 p.m.
Building Reading Skills
Reading skills are essential for school, work, and social
life. Travel to many exciting places through the magic
of books. Reading, vocabulary, and comprehension
skills will be increased through discussion, writing, and
art projects. Learn to identify the main idea, follow a
sequence of events, and recognize supporting details.
Come journey through the adventures of reading!
Course: SPP315
$156 + $64 fee = $220; NMR $140
Rockville Campus
CRN#: 25964
9/9–11/11
10 Sessions 12–1:30 p.m.
15 Hours
F
Coming Spring 2017
NEW
Technology
Classes!
www.montgomerycollege.edu/wdce/academicworkprep.html
Chorus—Introduction
You will be provided with a foundation in the use of
vocals, pitch, rhythm development, and listening skills.
You will develop an understanding of choral music
styles and learn choral terminology. Through the process
of preparing for a choral presentation, you will learn
discipline, perseverance, dependability, composure,
courage, and subsequently, pride in your results.
Course: SPP266
$156 + $64 fee = $220; NMR $140
Rockville Campus
CRN#: 25957
9/9–11/11
10 Sessions 1–2:30 p.m.
15 Hours
$156 + $64 fee = $220; NMR $140
Rockville Campus
CRN#: 25963
9/9–11/11
10 Sessions 9–10:30 a.m.
15 Hours
Rockville Campus
How do you start a conversation with someone you
just met? How do you control your anger in a public
setting or the workplace? You will learn interpersonal
communication and will role play and practice real life
situations. Interpersonal communication is the exchange
of information between two or more people and it is not
always easy. We will hone our communication skills
through role-play activities, interactive games, art, and
creative worksheets. We will focus on the nature and
qualities of our day to day relationships and how to
improve them through effective communications. Good
communication requires practice and effort. Come talk,
speak, chat, and communicate with your classmates!
$156 + $64 fee = $220; NMR $140
Join our class discussions as we learn about current
ideas from the past year and how they influenced
society and our lives. Sports, entertainment, music, and
major news events will be topics of discussion. You
will learn how to research those topics on a computer.
You will also develop and improve vocabulary, word
recognition, comprehension and writing skills. There
will be plenty of class discussions, activities and
research in this class!
Course: SPP334
F
Communications: Activities for Better
Communication
Course: SPP304
Current Events: What Current Ideas
Can Teach Us
15 Hours
CRN#: 25966
9/6–11/8
10 Sessions T
10:30 a.m.–12 p.m.
Drawing and Writing through History
You will study pilgrims, pirates and patriots as they
take an exciting journey through time as we draw
and write our way through history. You will study the
history of early North America from its Native people,
to exploring why they came here, then it’s first settlers
and the presence of pirates. Lastly, you will study the
patriots that won this country its freedom. There will
be writing prompts each week, you will write about
what you learned and there will be step by step drawing
instruction to illustrate your writing. This class is a fun
interactive way to learn history!
Course: SPP359
$156 + $64 fee = $220; NMR $140
Rockville Campus
CRN#: 25969
9/7–11/9
F
10 Sessions 1–2:30 p.m.
15 Hours
W
Instructors for classes are listed in the
At A Glance Schedule starting on page 2.
Customer Service 240-567-5188
NMR Non-Md. resident
5
Essential Math Skills
Learn automatic computation skills needed to master
addition, subtraction, multiplication and fractions.
These fun and challenging activities will keep you
motivated while mastering the foundations of math.
Course: SPP349
$156 + $64 fee = $220; NMR $140
Rockville Campus
CRN#: 25968
9/10–11/12
10 Sessions 10–11:30 a.m.
15 Hours
S
Exciting Sports and Games for All
Put your sports clothes and sneakers on and join us as
we learn to stay healthy through nutrition, exercise and
sports. You will learn about stretching, warming up,
weight, exercise, and competitive sports. You will learn
about body weight composition for health and sports.
You will learn about proper nutrition and exercise while
enjoying a variety of sports!
Course: SPP333
$156 + $64 fee = $220; NMR $140
Rockville Campus
CRN#: 25965
9/10–11/12
10 Sessions 12–1:30 p.m.
15 Hours
NEW
Happy 100th Birthday National Parks! Join the
centennial celebration by learning about the greatest
American treasures. You will research and discuss
the Giant Redwoods in Sequoia National Park, the
geyser “Old Faithful” in Yellowstone National Park,
the Majestic Grand Canyon and the gators in the
Everglades, as well as the ponies on Assateague Island.
This class will go on an educational journey that started
one hundred years ago around the campfire of President
Teddy Roosevelt and naturalist John Muir; they created
an American legacy for us to explore!
Course: SPP367
$156 + $64 fee = $220; NMR $140
15 Hours
Rockville Campus
CRN#: 25972
9/12–11/14
Trying to find the right job fit in today’s economy?
Join us as we discuss career options, résumé building,
employment opportunities, internships, and how
important it is to volunteer. Discovering a job seeker’s
strengths, uncovering their employment-related goals
and experience is the place to start. This class will help
guide you through: what life experiences you have,
what your strengths are, interests and preferences, and
what specifically you have to offer an employer. You
will develop résumés, develop a reference page, fill out
job applications, and role play job interviews. Materials
needed for class: flash drive, notebook, and pen.
Course: SPP262
$156 + $64 fee = $220; NMR $140
Rockville Campus
CRN#: 25956
9/6–11/8
10 Sessions 5:15–6:45 p.m.
T
Famous Classical Composers—Their
Music in Past and Present NEW
10 Sessions M
11 a.m.–12:30 p.m.
Course: SPP366
$156 + $64 fee = $220; NMR $140
Instructors for classes are listed in the
At A Glance Schedule starting on page 2.
15 Hours
Rockville Campus
CRN#: 25971
9/9–11/11
10 Sessions F
10:30 a.m.–12 p.m.
Introduction to Cartoon Character and
Animé Drawings
Practice a step-by-step drawing process that progresses
from drawing stick figures and simple shapes to
drawing characters, cartoons, and animé. This course
will bring your dreams to life. Materials needed for
class: sketch pad, pencils, erasers, and black felt tip
marker.
Course: SPP167
$156 + $64 fee = $220; NMR $140
Rockville Campus
6
15 Hours
Do you have an ear for classical music? Join us to learn
about the history of famous classical composers, such
as Bach, Mozart, Beethoven and Brahms. You will
explore their music, research their personal lives and
enjoy learning trivia about each of them.
S
Exploring Americas National Parks
Exploring Jobs
CRN#: 25954
9/9–11/11
10 Sessions 1–2:30 p.m.
15 Hours
F
Introduction to Dance
You will experience several different dance styles
through watching film clips of famous dancers,
lectures, worksheets, and experiential dance activities.
An examination of dance as an art form and means of
multicultural expressions, ritual, and tradition will be
explored. You will become familiar with basic steps
from these dance styles. Put on your dancing shoes and
join us as we explore the world of dance!
Course: SPP257
$156 + $64 fee = $220; NMR $140
Rockville Campus
CRN#: 25955
9/8–11/10
10 Sessions 1–2:30 p.m.
15 Hours
R
Natural Disasters
Join Our Book Club!
James and the Giant Peach by Roald Dahl
The words and images in this novel virtually jump off
the page – join us on a journey full of excitement! You
will tremble when you first meet Aunt Sponge and Aunt
Spiker, and will feel a tremendous thrill when the peach
takes off and James begins his journey.
Course: SPP292
$156 + $64 fee = $220; NMR $140
15 Hours
NEW
Have you ever wondered what causes the Earth’s
most dangerous forces? When natural disasters occur
on earth, people, creatures and the environment are
affected. Join us as we learn to prepare for natural
disasters and protect ourselves from them. This fully
engaging science course will form hypotheses, test
out theories, create experiments, and form conclusions
while investigating nature’s most dangerous forces.
Course: SPP368
$156 + $64 fee = $220; NMR $140
15 Hours
Rockville Campus
Rockville Campus
Life Skills, Career Education, and Steps
to Independent Living
Nutrition for Health, Fitness,
and Sports
CRN#: 25962
9/7–11/9
10 Sessions W
10:30 a.m.–12 p.m.
This course gives you the structural skills needed to
manage independently, including how to set up and
take care of a home, stay healthy, use money wisely,
and maintain safety. Master essential skills crucial to
succeed in daily life. Strengthen your vocabulary skills
with engaging activities.
Course: SPP155
$213 + $126 fee = $339; NMR $140
Rockville Campus
CRN#: 25953
9/7–10/31
16 Sessions 9–10:30 a.m.
24 Hours
M,W
CRN#: 25973
9/7–11/9
10 Sessions W
11 a.m.–12:30 p.m.
Put on your workout clothes and sneakers and join
us as we learn to stay healthy through nutrition and
exercise. You will learn about protein—the tissue
builder, vitamins—the organic regulators, minerals—
the inorganic regulators, and water—electrolyte and
temperature regulators. You will learn about body
weight and composition for health and sport, weight
maintenance, and weight loss through proper nutrition
and exercise. Come join us as we learn to promote
maintenance of optimal health!
Course: SPP287
$156 + $64 fee = $220; NMR $140
Rockville Campus
Instructors for classes are listed in the
At A Glance Schedule starting on page 2.
CRN#: 25960
9/8–11/10
10 Sessions 5:15–6:45 p.m.
15 Hours
R
7
Upcycle Art
NEW
Have you ever heard someone say “one man’s trash is
another man’s treasure?” Upcycling, not to be confused
with recycling, takes something that may have been
thrown in the trash and improves it. You will learn about
the history of trash, how to make compost and make
decomposable planters. You will reuse old clothes,
lightbulbs, and other household items to create beautiful
new items. Join us as we give trash a second life!
Course: SPP369
$156 + $64 fee = $220; NMR $140
15 Hours
Rockville Campus
CRN#: 25974
9/9–11/11
10 Sessions F
11 a.m.–12:30 p.m.
Wild About Animals
Have you ever thought about how we share the world
with animals? Endangered species? Or how insects help
us and hurt us? Join us to learn about various habitats
around the world from the plight of endangered species
to the hope of adorable baby animals. Materials needed
for class: Colored pens, glue, markers and scissors.
$232 + $109 fee = $341; NMR $160
Rockville Campus
CRN#: 25961
9/7–11/2
25 Sessions 2:30–4 p.m.
37.5 Hours
M,W,F
Women Who Have Shaped History
$156 + $64 fee = $220; NMR $140
Rockville Campus
CRN#: 25970
9/7–11/9
10 Sessions 1–2:30 p.m.
NEW
15 Hours
Reading and writing skills are combined in this class
in a comprehensive, systematic process. Learn to write
descriptive and narrative paragraphs, use punctuation
correctly, and compose demonstration speeches. You will
be assigned a two-page typed paper. Bring your own
dictionary, 3x5 note-cards, paper, and notebook to class.
Course: SPP139
$232 + $109 fee = $341; NMR $160
Rockville Campus
CRN#: 25952
9/13–12/8
No class 11/24
25 Sessions 1:15–2:45 p.m.
CRN#: 25951
9/12–12/7
25 Sessions 2:45–4:15 p.m.
37.5 Hours
T,R
M,W
Reading and Vocabulary Building II
During 25 sessions, you will receive instruction in reading
comprehension and vocabulary building. Learn to identify
the main idea, follow a sequence of events, and recognize
supporting details. You can improve your own writing and
speaking skills when you summarize and outline reading
materials, take better notes, and build your vocabulary.
Bring your own dictionary, 3x5 note-cards, paper, and
notebook to class.
Course: SPP119
$232 + $109 fee = $341; NMR $160
37.5 Hours
Rockville Campus
W
Instructors for classes are listed in the
At A Glance Schedule starting on page 2.
8
These courses are designed to enhance reading
comprehension, writing skills, and build vocabulary.
Students will learn and practice reading and writing skills
by enrolling in both courses. For additional information,
please contact
[email protected]
or call 240-567-1660.
Takoma Park/Silver Spring Campus
From women’s suffrage to the feminist movement,
there are many women who have shaped history worth
celebrating and remembering; Harriet Tubman, Susan
B. Anthony, Eleanor Roosevelt, and Dolly Madison to
name a few. Did you know Jane Addams was the first
woman to win a Nobel Peace Prize? You will study,
research and discuss the significant impact women had
on American history.
Course: SPP365
This program connects Reading and Writing Skills
students need to prepare for college course work.
Effective Writing II
NEW
Course: SPP284
Connecting Reading
and Writing
CRN#: 25949
9/13–12/8
No class 11/24
25 Sessions T,R
10:15–11:45 a.m.
CRN#: 25950
9/12–12/7
25 Sessions 1–2:30 p.m.
Takoma Park/Silver Spring Campus
M,W
Challenge Program
Scholarships
A limited number of need-based scholarships
are available for qualified Challenge
students, pending funding availability, through
Montgomery College’s Workforce Development
& Continuing Education.
Need-based students accepted into the
Graduate Transition Program (GTP) may also
qualify for funding.
Application period for
Fall 2016
Challenge or GTP scholarships is
July 25–August 12, 2016 at 5 p.m.
For more information and for application deadlines,
please visit:
http://www.montgomerycollege.edu/wdce/ce/
challengescholarship.html.
Graduate Transition
Program
The Graduate Transition Program (GTP) at
Montgomery College offers a college experience
for students with developmental disabilities.
GTP is a two-year, noncredit certificate program
offering academic classes, job coaching, job
development, career exploration, and social and
recreational activities.
www.montgomerycollege.edu/wdce/ce/
developmentaleducation.html
For information, contact
Karla Nabors at
240-567-1660 or
[email protected]
Transitioning Youth
Resource Fair
For individuals with disabilities, families,
caregivers, and professionals.
Saturday, October 15, 2016
10 a.m.–2 p.m.
Montgomery College—
Takoma Park/Silver Spring Campus
Time for Independence
Workshops + Exhibits
Jobs—Education • Training
Housing Benefits • Sports and Fun
For more information:
[email protected]
SPONSORED BY: Montgomery County Public Schools, Montgomery
County Department of Health and Human Services Aging and Disability
Services/Community Support Network, Maryland Division of Rehabilitation
Services, Abilities Network, The Arc of Montgomery County, St. Luke’s
House and Threshold United, McTransitions.org, TLC’s Outcomes Services,
Potomac Community Resources (PCR), The Pathway Schools, TransCen,Inc.,
Transition Times, JFGH and the MOST Program (Meaningful Opportunities
for Successful Transitions), Montgomery College WD&CE, Developmental
Education/Workforce Access, College Living Experience, Quality Trust,
Learning Disabilities Association of Montgomery County, JSSA
Challenge Program Students:
If you need support services due to a disability, please
contact Ms. Natalie Martinez at least six weeks prior to
the start of class to arrange for accommodations and/or
assistive technology.
Natalie Martinez: 240-567-4118
E-mail: [email protected]
If this procedure is not followed,
services may be delayed
9
Payments
Payment MUST be made IN FULL at the time of registration to avoid being deleted
from the course. Complete information is required to process all registrations and
payments. Further instructions for WEB, FAX or MAIL-IN payments can be found
at: cms.montgomerycollege.edu/wdce/registerops.html. Registration will not be
processed without appropriate payment.
Residency Policy
The following are general guidelines taken from the College policy on residency for
tuition purposes. A complete copy of the policy is available in the Montgomery
College Catalog.
A. Students attending Montgomery College will pay tuition according to their residency.
B.To qualify, for tuition purposes, as a resident of the state of Maryland, legal
domicile must have been maintained for a period of not less than three months
prior to the first regularly scheduled class for the semester.
C. The domicile of a person registering in a noncredit course at Montgomery
College shall be considered as a person’s permanent place of abode, where physical presence and possessions are maintained, and where he/she intends
to remain indefinitely.
Transfer Policy
To transfer from one CRN to another CRN of the same course, a letter must be
received in the Admissions, Records, and Registration Office, Montgomery College,
51 Mannakee Street, Rockville, MD 20850 before the beginning date of both CRNs
of the course. If you have enrolled in a co-listed course you will have only one day
after the class has begun to transfer. After that, you are committed to your path for the
remainder of the course. If the course has a required assessment level to be a credit
student, you must first complete the assessment testing and meet the appropriate assessment level before you can change to credit status.
Refund Policy
Refunds are paid at 100% for classes cancelled, dropped online, or in person (using
a Drop Form), prior to the start date of the class. Refunds are also paid at 100% if
class is dropped prior to the Refund Date printed on your registration confirmation.
DO NOT drop classes online on or after the day the class begins; you will not
receive a refund. APPE students must call 240-567-7262 for refund/withdrawal
instructions. Refunds for open enrollment classes will go to the registered student
of record. For the Drop Form and more information, visit
www.montgomerycollege.edu/wdce/register/refundpolicy.html.
Challenge Program
Students:
Please register through Disability
Support Services (DSS).
If you need support services due to
a disability, please contact
Ms. Natalie Martinez at least six
weeks prior to the start of class to
arrange for accommodations and/or
assistive technology.
Natalie Martinez: 240-567-4118
E-mail: natalie.martinez@
montgomerycollege.edu
If this procedure is not followed,
services may be delayed.
10
4 Easy Ways to Register
On the Web
If you have enrolled in a Montgomery College class, and are paying by credit card or checking account, you can register on the web. Visit:
www.montgomerycollege.edu/wdce/registerops.html and
click on “Register by Web.”
By Mail
Mail completed registration form with payment to:
Montgomery College Workforce Development & Continuing Education, Rockville Campus
Campus Center, Room 220
51 Mannakee Street
Rockville, MD 20850
By Fax
Fax completed registration form indicating credit card payment to Montgomery College at 240–567–1877.
Walk–In
A completed registration form with payment may be submitted at any of these locations:
Gaithersburg Business Training Center, Room 400
8:30 a.m.–9 p.m. (Mon–Fri); 8:30 a.m.–4 p.m. (Sat)
Germantown Campus
Humanities and Social Sciences Building,
Room 241 and/or 243
8:30 a.m.–5 p.m. (Mon–Thur); 8:30 a.m.–4:30 p.m. (Fri) Rockville Campus
220 Campus Center
8 a.m.–7 p.m. (Mon–Thur); 8 a.m.–5 p.m. (Fri)
8:30 a.m.–12 p.m. (Sat)
Takoma Park/Silver Spring Campus
CF 230, Customer Service
8:30 a.m.–6 p.m. (Mon–Thur); 8:30 a.m.–4:30 p.m. (Fri)
Westfield South, Suite 306 **
8:30 a.m.–9 p.m. (Mon–Thur);
8:30 a.m.–4:30 p.m. (Fri); 8:30 a.m.–4 p.m. (Sat)
NOTE: Cash payments must be paid in the Cashiers’
Offices at the Germantown, Rockville, or Takoma Park/
Silver Spring campuses between 8:30 a.m.–1 p.m. and
2–4:30 p.m., Mon–Fri.
Payments due at time of registration
** Disability access for this leased site is on the same side as the movie theatre
entrance. For more information regarding disability access at this site, or if any
individuals are facing accessibility issues anywhere in the Westfield South Center,
please call 240-567-8841.
REGISTRATION FORM
Workforce Development & Continuing Education
Please Print Clearly
All information is required. Incomplete forms will be returned to the student unprocessed. For registration assistance call 240-567-5188.
FAX completed registration form with credit card information to 240-567-7860 or 240-567-1877 or 240-567-7937.
Mail completed registration form with payment to WD&CE Registration, 51 Mannakee Street, CC 220, Rockville, MD 20850.
College ID Number:
-
Birthdate
M 2
Month
Last Name
-
Sex
Day
□Female □Male
Year
Middle Initial
First Name
Address
Apt. #
House # and Street Name (Do NOT use P.O. Box or you will be charged Non-Md. resident fee.)
State
City
Home
Phone
Work
Phone
Fax
E-Mail
Have you attended MC before?
How did you hear about us?
□Yes □No
-
Zip
If you have ever taken a credit class at MC and the last class (credit or non-credit) you took at MC was more than 4 years ago, you
must also complete and submit a Student Reactivation form found at: http://www.montgomerycollege.edu/studentforms.
□Received brochure in mail □Website □Social media □Advertisement □On campus □Other_______________
Military: If the military is paying for
your course(s), you must submit the
last 4 digits of your SSN.
STUDENTS WITH DISABILITIES
If you need support services due to a disability, call Workforce Development & Continuing Education at 240-567-4118 at
least three weeks before class begins.
ETHNICITY: Choose one. (Disclosure not mandatory by Montgomery College, but is required by the U.S. Department of Education.)
Hispanic or Latino
Not Hispanic or Latino
□
□
RACE: Choose all that apply, you may choose more than one. (Disclosure not mandatory by Montgomery College, but is required by the U.S. Department of Education.)
□American Indian or Alaskan Native □Asian □Black or African American □Native Hawaiian and other Pacific Islander □White
□U.S. Citizen □Permanent Resident (Circle one: Green Card / Working Card) □Other Immigration Status ______________ (Used for tuition-setting purposes only.)
CHECK ALL THAT APPLY:
I have been a Maryland resident [as defined in the Montgomery College Catalog] for at least three months.
I am 60 years of age or older. (Applicable to designated tuition waiver courses for Maryland residents only.)
I am a Maryland National Guard member enlisted for at least a 24 month period and submitting proof of such from the adjutant general’s office.
□
□
□
CRN #
Course #
Course Title
Start Date
Tuition
Course Fee
Refunds will go to the registered student of record.
Code: SP
Non-Md. Fee
Total Due
Course Total
$
I certify that the information on this registration is correct and complete. I am aware of and will adhere to College policies as published in the Student Handbook.
I understand that non-attendance and/or failure to file all registration changes in writing with the Admissions and Records Office does not relieve me of responsibility for tuition and fee
charges incurred. I agree to abide by the policies and procedures of the College, including without limitation, the Student Code of Conduct and any payment liabilities. I hold the College harmless for any errors I have made that may affect a request for a subsequent refund or academic appeal.
_________________________________________________________
Student Signature Required
Please indicate payment by:
□Check (payable to Montgomery College)
____________________________
Date
Credit card:
Credit Card Information: Expiration date on card
3 or 4 digit Security code on your card
Month
NOTE:
Credit card information will
be detached and disposed
of promptly and properly
after payment is approved.
□MasterCard □VISA □American Express □Discover
/
Year
Credit Card Number
Name on Card
Card holder
signature required _____________________________________________________________
4/28/16
Montgomery College is an Equal Opportunity Affirmative Action Title IX institution.
Date___________________
Workforce Development & Continuing Education
Non-Profit Org.
US Postage
Paid
Rockville, Md.
Permit No. 97
51 Mannakee Street
Rockville, MD 20850-1195
240-567-5188
The Challenge Program
For Adults with Developmental Disabilities
FALL 2016
SAVE THE DATE
Transitioning Youth
Resource Fair
Saturday, October 15, 2016
See page 9 for more information.
Contact Information:
Karla Nabors:240-567-1660
[email protected]
Jill Kephart: 240-567-7720
[email protected]
LOOK INSIDE
FOR THESE
NEW CLASSES!
• Exploring Americas National Parks
• Famous Classical Composers—
Their Music in Past and Present
• Natural Disasters
• Upcycle Art
• Wild About Animals
• Women Who Have Shaped History
240-567-5188 www.montgomerycollege.edu/wdce/academicworkprep.html