Participant Information Form

Congratulations on your decision to register for a course with SUNY Corning Community College's Workforce Education and Academic Pathways. We look forward to working with you!

Please include the full name of the course.
If you have SUNY CCC educational records under a different name, please give former name.
Home and/or Cell
area code/number
Please indicate your employer for our records. We will not contact your employer.
Gender*
Are you a US citizen*
Are you Hispanic/Latino*
If Hispanic/Latino, is your background (select one):
All students, please indicate your race background (select one or more):*
If you have questions about the use of this information, please contact the Office of Workforce Education at 607.936.5501.

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.

Cancellation and Refund Policies: Cancellations will be determined 3 days prior to start date. Should SUNY Corning Community College's Office of Workforce Education and Academic Pathways cancel a course, refunds are automatically generated. Students may cancel and request a full tuition refund anytime up to 48 hours prior to start of class. Last-minute cancellations by a student or failure to attend will NOT qualify for a refund. Students should make a cancellation request in writing, by email to ilearn@corning-cc.edu, or by phone call to 607.936.5501 and should also request confirmation of their cancellation. In cases of inclement weather or other emergency conditions, please call 607.962.9222 for college closure information.