ACE Online Registration Form

Is this your first ACE course?*

Yes

No

SUNY CCC ID # (if known)Leave blank if not known

Legal First Name*

Middle Name or Initial*

Legal Last Name*

Preferred Name (if applicable)

Street Address*

City*

State*

Zip Code*

Student's Cell Phone Number*XXX-XXX-XXXX

Is this a Mobile Phone?*

Yes

No

Parent Cell Phone NumberXXX-XXX-XXXX

Student's Email Address*Please provide a current email where we can contact you

Social Security Number _ _ _-_ _-_ _ _ _*Enter in this format XXX-XX-XXXX

Date of Birth*(MM/DD/YYYY)

High School you attend*

Select your anticipated Graduation year*

2024

2025

2026

2027

Biological (Legal) Sex*

Female

Male

Not Available

Gender *

Male

Female

Non-Binary

Prefer not to disclose

Are you a US citizen*

Yes

No

All students, please indicate your race background (select one or more):*

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or Other Pacific

White

Are you Hispanic/Latino*

Yes

No

If Hispanic/Latino, is your background (select one):

Central American

Dominican

Mexican

Other Hispanic/Latino

Puerto Rican

South American

Please Indicate the Course(s) below that you are enrolling in:*

ACCT 1000: Accounting Practices- (5/28-8/9))

ARTS 1320: Art History Renaissance to Modern (7/8-8/9)

BUSN 1100: Business Applications - Microsoft Office (7/8-8/9)

BUSN 1231: Business Law I (7/8-8/9)

HLTH 1204: Healthy Aging (STARTS 5/28-6/28/24)

PSYC 1101- General Psychology I (7/8-8/9)

SOCI 1010: Intro to Sociology (7/8-8/9)

SPCH 1080: Public Speaking (7/8-8/9)

Refer back to the Courses Available for descriptions and prerequisites.

If you have questions about the use of this information, please contact us at 607-962-9533 or ace@corning-cc.edu.

Emails will be sent the week before class begins to confirm your registration and supply you with your login and book information in the beginning of June.

The Personal Privacy Protection Law requires this notice to be provided when collecting personal information from individuals. The authority to request this information is found in section 355 (2) (i) of the Education Law.