York County Community College &
Portsmouth Naval Shipyard
Please take a moment to fill out this registration form. Doing so will allow us to collect the information necessary to build and maintain you YCCC student account. Please contact email@example.com if you have any questions.
Birth Date (mm/dd/yyyy)
Resident Alien Registration #
I identify as the following gender
Race (choose all that apply)
Do you reside outside of the United States?
Address Line 1:
Address Line 2:
Home Phone Number:
Cell Phone Number:
If it's okay to text this number, please provide your cell phone carrier
If you do not know this information, its okay. Just leave it blank and push next below.
Please enter the code of the first course you would like to to take (Example: ENG-101-01-LB)
Please enter the code of the second course you would like to to take (Example: ENG-101-01-LB)
Unless a student withholds consent by use of an opt-out form, a college may disclose educational records without prior written consent under the FERPA exception for directory information. Directory Information is limited to a student's full name, email address, the fact that a student is or was enrolled, enrollment status, class level, majors/minors, dates of attendance, degrees, honors or rewards received, cumulative credit hours, and participation in recognized activities. If you check yes in the box below to exclude your directory information from being released, please be aware that this will also prevent your name from appearing in the local media for making the Dean’s List or President's list at the end of each semester. Do you wish to have your directory information excluded?
If you would like to leave any comments about your registration for our Enrollment Services team, please use the text box below.