North Central Michigan College

Completion of this application will allow you to create an account to be used for on-line registration into NON-CREDIT Corporate and Community Education and NON-CREDIT Public Service courses.

If you would like to register for credit bearing courses, Please fill out the Admissions Application found here.

Name Information

First Name

Middle Name

Last Name

Birth or Maiden Name

Gender

Birth Date (mm-dd-yyyy)

Social Security Number (###-##-####)

Address Line 1

Address Line 2

City

State

Zip Code

County of Residence

Mobile/Cell Phone Number (###-###-####)

I agree to allow North Central to contact me on my Mobile phone utilizing prerecorded and text messages, to notify me of campus emergencies, school closings, class cancellations, important dates and important information.

Home Phone Number (###-###-####)

Email Address

Confirm Email Address

Employer Information

Will you be enrolling in a class that will be paid for by your employer?

Employer Name

Employer Street Address

Employer City

Employer State

Employer Zip Code

Employer Phone Number (###-###-####)