Conurrent Enrollment Registration Form

Name *

First

Last

Email *

Phone *

High School

Course Selection

Which semester are you registering for?

I am requesting to register for the following courses:

Enter the course number, course title / name and credit hours. Failure to provide this information may result in a failure to register you for requested classes.

Student Acknowledgement

By signing this form, I acknowledge that I have read the Concurrent Enrollment Student Guide and agree to abide by the academic regulations included in it. I understand that as a high school student under the age of 18, my parent(s)/legal guardian(s) have the right to review my college records according to FERPA guidelines. I also understand that I must submit an online application in order for this form to be processed. Further, I have met all criteria to take the courses I have requested to enroll in. *

First

Last

Parent / Guardian Acknowledgement

By signing this form, I agree to comply with all rules and regulations set forth by the Crowley’s Ridge College Concurrent Enrollment Student Guide. I understand that final grades for any college course will become part of my child’s permanent academic record. Further, I understand that official transcripts will not be released to my child until payment of all amounts owed to CRC have been submitted. I agree to make these payments promptly. *

First

Last

100 College Drive
Paragould, Arkansas 72450 USA
(870) 236-6901

HELPFUL LINKS

INFORMATION FOR

GIVING

We are a college committed to a continual emphasis on the integration of scholarship, critical thinking, service, and the spiritual dimension of life.

GIVE TODAY

FOLLOW US ON IG @CROWLEYSRIDGECOLLEGE

Privacy Overview

This website uses cookies to improve your experience while you navigate through the website. Out of these, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. We also use third-party cookies that help us analyze and understand how you use this website. These cookies will be stored in your browser only with your consent. You also have the option to opt-out of these cookies. But opting out of some of these cookies may affect your browsing experience.

Necessary

Always Enabled

Necessary cookies are absolutely essential for the website to function properly. These cookies ensure basic functionalities and security features of the website, anonymously.

Cookie	Duration	Description
cookielawinfo-checkbox-analytics	11 months	This cookie is set by GDPR Cookie Consent plugin. The cookie is used to store the user consent for the cookies in the category "Analytics".
cookielawinfo-checkbox-functional	11 months	The cookie is set by GDPR cookie consent to record the user consent for the cookies in the category "Functional".
cookielawinfo-checkbox-necessary	11 months	This cookie is set by GDPR Cookie Consent plugin. The cookies is used to store the user consent for the cookies in the category "Necessary".
cookielawinfo-checkbox-others	11 months	This cookie is set by GDPR Cookie Consent plugin. The cookie is used to store the user consent for the cookies in the category "Other.
cookielawinfo-checkbox-performance	11 months	This cookie is set by GDPR Cookie Consent plugin. The cookie is used to store the user consent for the cookies in the category "Performance".
viewed_cookie_policy	11 months	The cookie is set by the GDPR Cookie Consent plugin and is used to store whether or not user has consented to the use of cookies. It does not store any personal data.

Functional

Performance

Analytics

Others