Visiting and Leisure Student Enrollment Form

This form is for visiting or leisure students who are not pursuing a degree from LCC.

Submit this form only if your intent is to:

Take a single LCC course or course series (e.g. BIOL& 241 and 242) to supplement your coursework at another college; OR,
Take an LCC class for personal enrichment, leisure, or just for fun.

By submitting this form, you confirm:

You are not pursuing a degree or certificate at LCC
You plan to take only a single course or course series
You will not apply for financial aid for this course
You will pay for the class out of pocket or set up a tuition payment plan by the tuition due date posted on the LCC academic calendar. Visiting students are not eligible to use the Promise to Pay/Hold Request Form.

Visiting students are not eligible for financial aid. You must pay for your class by the tuition due date to avoid being dropped for nonpayment.

Not a visiting/leisure student? Visit lowercolumbia.edu/enrollment and follow the instructions for enrolling as a degree-seeking student.

For help, contact the LCC One-Stop Center.

Name*

First NameLast Name

ctcLink Student ID Number*

Phone Number

Please enter a valid phone number.

Email*

example@example.com

Which college are you visiting from? (Leisure students leave blank.)

Course(s) you wish to enroll in at LCC:

Which Term? *

Subject and Course Number*

E.g. BIOL& 241

Section or Class Number*

E.g. Section DE, Class # 1234

Name of Second Course (if applicable)

E.g. BIOL& 241

Second Section or Class Number

E.g. Section DE, Class # 1234

Name of Third Course (if applicable)

E.g. BIOL& 241

Third Section or Class Number

E.g. Section DE, Class # 1234

If any of these courses you wish to enroll in at LCC have a prerequisite, we'll need documentation showing you meet the prerequisite. Please upload files proving you meet the prerequisite for the course(s) you wish to enroll in.

Any additional comments?

By checking this box I am confirming that I am not a degree or certificate-seeking student. (NOTE: If you are pursuing a credential at LCC, please reach out to the One-Stop for help with your orientation.)*

I certify this is correct

Non-Discrimination Statement:
Lower Columbia College does not discriminate on the basis of sex and prohibits sex discrimination in any education program or activity that it operates, as required by Title IX, including in admission and employment. Lower Columbia College provides equal opportunity in education and employment and does not discriminate on the basis of race, color, national origin, citizenship or immigration status, age, perceived or actual physical or mental disability, pregnancy, genetic information, sex, sexual orientation, gender identity, marital status, creed, religion, veteran or military status, or use of a trained guide dog or service animal as required by Title VI of the Civil Rights Act of 1964, Title VII of the Civil Rights Act of 1964, Title IX of the Educational Amendments of 1972, Sections 504 and 508 of the Rehabilitation Act of 1973, the Americans with Disabilities Act and ADA Amendment Act, the Age Discrimination Act of 1975, the Violence Against Women Reauthorization Act and Washington State's Law Against Discrimination, Chapter 49.60 RCW and their implementing regulations. All inquiries regarding compliance with Title IX, access, equal opportunity and/or grievance procedures should be directed to Vice President of Foundation, HR & Legal Affairs, 1600 Maple Street, PO Box 3010, Longview, WA 98632, title9@lowercolumbia.edu, Phone number, (360) 442-2120, Phone number/TTY (800) 833-6388. The notice of nondiscrimination is located at https://lowercolumbia.edu/disclosure/non-discrimination/.