Kids College. Register Now. fall Montgomery College Workforce Development & Continuing Education

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1 Montgomery College Workforce Development & Continuing Education fall 2014 Register Now Kids College Enrichment Courses for Students Ages 7-18 Courses are offered after school and on Saturdays on the Germantown, Rockville and Takoma park/silver spring campuses Asistencia en Español Disponible or

2 Inclement Weather If Montgomery College is closed, there are no classes on College campuses. want more youth programs? To see our full list of exciting Youth Program offerings or for more information, please visit our website at or call Youth Programs at or Asistencia en Español Disponible how TO READ A COURSE DESCRIPTION Course name : engineering fundamentals/lego Grades/Ages : Grades 9 12 Power up your engineering skills with Play-Well TEKnologies and tens of thousands of LEGO! Apply real-world concepts in physics, engineering, and architecture through engineerdesigned projects such as arch bridges. Design and build, explore ideas in a supportive environment. An experienced instructor will challenge new and returning students to engineer at the next level. Provided by: Play-Well Teknologies Couse # # hours course meets Course: YOU Hours Tuition and fees $150 + $50 fee = $200; Non-Md. residents add $25 Location CRN # # of sessions CRN#: Dates Day 10/9 12/4 R Exception dates Time No class 11/27 4 5:30 p.m. Days of Week M=Monday T=Tuesday W=Wednesday R=Thirsday F=Friday S=Saturday U=Sunday SAMPLE PREP Montgomery College offers SAT and ACT Prep courses on all MC campuses and at local high schools. See our website for course schedules and a link to our Facebook page! satprep.html For more information, please laura.weihrauch@montgomerycollege.edu or call Upcoming Programs Saturday, October 11, 2014 For All Students in Grades 4 6 Global Children s Center at Germantown Campus for students in grades 1 3 on November 8, 2014 Black Rocket at Germantown Campus for students in grades 6 8 on January 17,

3 AP Chemistry Support I Grades 9 12 GT For students who will take AP Chemistry Exam in May Topics covered include stoichiometry, chemical reactions, and their applications. Instructor: Zenia Yang Course: YOU631 CRN#: /15 12/17 W 6:45 8:45 p.m. Cartooning, Comics and Manga Grades 5-9 Explore the many forms of cartoon drawings (caricatures, one-panel sight gags, and editorial cartoons), comic strips/ books (superhero comics, adventurous illustrations, westerns sci-fi, and detective comics), long form illustrated narratives (graphic novels, non-fiction subjects), and Japanese manga. Apply your powers of observation and imagination to a variety of projects: creating original characters, designing pages, drawing caricatures, making flip books, and developing a comic strip/book. You will be encouraged to experiment with various drawing media and techniques. Instructor: Ellen Vartanoff, freelancer for Marvel & D.C. Comics Course: YOU Hours $120 + $45 fee = $165; Non-Md. residents add $25 CRN#: /14 12/9 T No class 11/4 4:45 6:15 p.m. College Success Institute Grades 8-10 This is a hybrid course, part online and part on campus. Learn about college readiness and success online! In this hybrid online course, you ll meet face-to-face every other week to explore, learn and implement the six point college success model. Topics include setting goals, building selfesteem and confidence, and exploring careers. Other weeks, you ll work online to examine various motivational strategies, analyze learning styles, practice strategies for effective note taking, writing, speaking, and test preparation. If you are planning to go the college, then this is a course you don t want to miss! Instructor: Nicole Better Course: YOU Hours $135 + $45 fee = $180; Non-Md. residents add $25 CRN#: Sessions 10/15 12/3 W 5:30 7 p.m. Computer Programming 1 Grades 6-8 Use the MIT-developed programming language, Scratch, to investigate the foundations of computer programming. Through the creation of a variety of applications and games, you will learn essential common programming structures that can be applied to any future languages that you learn. An emphasis is placed on balancing rigor and fun, and you will have many opportunities to flex your creative muscles in the creation of your programs. By the end of camp, you will design a large-scale program of your own, and have the opportunity to share your application with the outside world over the internet! Instructor: David Hill Course: YOU Hours $150 + $50 fee = $200; Non-Md. residents add $25 Germantown Campus CRN#: /11 12/6 S No class 11/29 9 a.m. 12 p.m. Engineering FUNdamentals Using LEGO Ages 9-12 Power up your engineering skills with Play-Well TEKnologies and tens of thousands of LEGO! Apply real-world concepts in physics, engineering, and architecture through engineer-designed projects such as arch bridges, skyscrapers, motorized cars, and the Battletrack! Design and build as never before, and explore your craziest ideas in a supportive environment. An experienced instructor will challenge new and returning students to engineer at the next level. Provided by: Play-Well Teknologies Course: YOU Hours $150 + $50 fee = $200; Non-Md. residents add $25 CRN#: /9 12/4 R No class 11/27 4 5:30 p.m. Drivers Education Did you know that Montgomery College WD&CE offers Driver Education Training and Behind-the-Wheel Training? For more information or registration, contact Marcy Jackson at or marcy.jackson@montgomerycollege.edu. You can also visit our website at driversafety.html or

4 Financial Fitne$$ for Teens Grades 6-8 (GT) Have you ever wanted to buy an IPod, IPad, or video game, but couldn t afford it? If so, this course is the one for you. Learn how to take your money and use it wisely, buy the things you want, and still have money in the bank! Participate with your friends in many exciting activities, including Financial Bingo and Jeopardy. Play skill-building board games like Real-World Math which unlocks your goalsetting, savings and money management skills. On the last day, show what you ve learned by competing with your classmates and parents in Team Financial Bingo. Climb aboard today and learn to manage your money like an expert. This course meets State and National personal finance standards. Instructor: Afarin Homer Course: YOU Hours $145 + $55 fee = $200; Non-Md. residents add $25 CRN#: /10 12/12 F No class 10/17, 11/ p.m. Finding Your Balance Grades 9-12 Being a teen is harder than it looks! Everybody has advice and suggestions to offer. There are so many rules of what you should and shouldn t do. How often do you find yourself trying to be the person your friends, family, or teachers want you to be when all you really want is to figure out who you are? Finding Your Balance is designed to provide techniques and skills that promote academic achievement, reduce stress, and facilitate self-directed learning. Learn simple and effective strategies from a psychologist, educator, and life coach. Re-experience the thrill of coloring outside the lines! Instructor: Cassandra Ricks Course: YOU Hours $100 + $45 fee = $145; Non-Md. residents add $25 CRN#: /15 12/10 W 5 6:30 p.m. High School: What s Next Grades 9-12 As a teenager, there are many things in your life you can t control, and there are things you can control or at least influence. In this class, you will explore your skills, interests, values, and the world of work. Learn to make informed education, career, and life decisions. Learn techniques and skills that promote academic achievement, reduce stress, and facilitate self-directed learning. Along the way, you ll also learn to focus, make school a positive experience, and determine what it really means to be a teenager. Learn the elements of planning and effective strategies from a psychologist, educator, and life coach. It s your future-it s time to start taking charge! Instructor: Cassandra Ricks Course: YOU Hours $110 + $45 fee = $155; Non-Md. residents add $25 CRN#: Sessions 10/11 11/8 S 9 a.m. 12 p.m. Introduction to Sewing Ages Learn how to use a sewing machine and how to sew a variety of fun projects that you'll take home and use right away. Hand sewing techniques will also be covered. Sewing machines will be provided for classroom use. If a student already owns a machine s/he may bring it to a later class, but please do NOT purchase a new machine before class begins. All materials will be provided. Instructor: Anne LeVeque Course: YOU Hours $140 + $45 fee = $185; Non-Md. residents add $25 Takoma Park/Silver Spring Campus CRN#: Sessions 10/13 12/15 M 4 6 p.m. Geometric Animals Grades 3-5 Join us in this workshop to explore methods of creating an animal collage. Practice drawing techniques with a variety of pencils, marker, charcoal pencil, colored pencils, and conte. Instructor: Jennifer Pawlak Course: YOU643 9 Hours $95 + $45 fee = $140; Non-Md. residents add $25 CRN#: Sessions 10/4 11/8 S 9:30 11 a.m. 4

5 Jimmy Potters Workshop Ages 8-11 This is a pottery class that offers an innovative approach to arts through the craft of ceramics. Explore your creativity while learning the basics of clay through hand building. This course enhances many lifelong skills, such as increasing your focus and your attention to detail, improving your creative problem solving skills, instilling a sense and pride of accomplishment, and increasing self confidence. Be sure to wear clothes that can handle getting dirty, because working with clay can get messy. All materials are provided. Provided by: Jimmy Potters Workshop LLC Course: YOU Hours $190 + $45 fee = $235; Non-Md. residents add $25 CRN#: /1 11/19 W 4 5:30 p.m. My Personal Super Hero Grades 5-8 In this course you will have an opportunity to explore and develop your own character. Learn to develop an atmospheric sensitivity that will make your character of choice enter the story environment seamlessly. Using line weight and full value range, learn how to create a difference in the texture of fabrics for your desired character and the items used by your characters. Use advanced tools of illustration such as microns, drafting pencils, prisma color markers, and many other tools in the development of your personal heroes and villains. Instructor: Coral Anderson Course: YOU Hours $145 + $55 fee = $200; Non-Md. residents add $25 CRN#: /16 12/11 R No class 11/ p.m. Keyboarding for Computers Grades 4-6 Want to become a typing wizard! Using state-of-the-art IBM compatible computers (one per student) and other tools, learn the correct finger placement on the computer keyboard, including letters, numbers, and symbols. Build skills with drills and timed writings. Learn basic MS Word concepts, including formatting a letter and a table. Instructor: Janet Bergman Course: YOU Hours $100 + $45 fee = $145; Non-Md. residents add $25 CRN#: /15 12/10 W 4:15 6:15 p.m. My Money MatterZ Grades 4-6 (GT) Jump-start into lifelong financial responsibility! Boost yourself above most adults by discovering money smarts in this activity-packed class. Learn basic economics: how to make and spend money, how it works in the real world, and what it s good for. Develop personal responsibility and practical knowledge while having fun with games, stories, and big ideas, like human capital and opportunity cost. Now is the best time to begin understanding money to create a lifetime of financial peace. Sign up now and bring your friends along too! This dynamic program meets State and National Personal Finance Standards. Instructor: Afarin Homer Course: YOU Hours $165 + $50 fee = $215; Non-Md. residents add $25 CRN#: Sessions 10/11 11/8 S 9 a.m. 12 p.m. POM Squad! Ages Join the POM SQUAD!! A unique 2-in-1 dance and mentoring program that is quite different from other dance classes. Each session of this course includes a mentoring session that will help you to focus on issues relevant to you, such as self-confidence and the self-determination to aim high to achieve your goals and dreams. Develop social skills, discuss nutrition and fitness, and learn the dramatic moves of dance. End the course with a performance for family and friends. Instructor: Latasha Better Course: YOU Hours $135 + $50 fee = $185; Non-Md. residents add $25 CRN#: /15 12/10 W 6 8 p.m. Ribbon Landscapes Grades 6-8 Study drawing and painting concepts using a multimedia approach that helps you gain confidence with using varied materials. This course covers the fundamentals of composition, design, perspective, and construction. You ll learn to work in charcoal, pencil, watercolor and acrylic. Instructor: Jennifer Pawlak Course: YOU642 9 Hours $95 + $45 fee = $140; Non-Md. residents add $25 CRN#: Sessions 10/4 11/8 S 1:30 3 p.m or

6 SOS for Middle School Students Grades 6-8 Learning good study habits now will lay the groundwork for successful work habits as an adult. SOS is designed to provide background knowledge, resource materials, and suggestions that will relieve academic distress and help you optimize your success as a lifelong learner. This course is academic relief at your fingertips! Learn to use academic and practical tools to increase your likelihood for success, including organizational tools, time management techniques, test preparation and test-taking strategies, note-taking guidance, and personal responsibility tips. Instructor: Don Milner Course: YOU Hours $145 + $40 fee = $185; Non-Md. residents add $25 CRN#: Sessions 10/2 12/11 R No class 11/ p.m. Street Art Grades 5-9 Learn the methods and techniques used by great contemporary street artists like Banksy, Shepard Fairey, Futura, and Kaws. Use the style and methods these artists used to create the iconic Obama hope image or the Obey the Giant imagery made by Shepard Fairey. Learn the history and the fundamental basics of these advanced techniques, and discuss the differences between street art and vandalism. Instructor: Coral Anderson Course: YOU Hours $145 + $55 fee = $200; Non-Md. residents add $25 CRN#: /13 12/1 M 4 6 p.m. Writing and Reading for the SAT/ACT Grades 9-12 (GT) Get prepared for the writing section of the SAT/ACT. Analyze typical essay prompts and sample responses, and heighten your comfort with the testing situation. Learn to support your opinions by using your own experiences and readings to accomplish the task of writing to a persuasive prompt. Using logical thinking, enhance your awareness of the structure of your arguments and avoid fallacies in reasoning. Practice writing the parts of an essay, composing entire essays, and revising and evaluating your own writing and that of your peers. Increase your ability to write in timed situations. Add rhetorical strategies to your repertoire of writing skills and improve your understanding of Standard English usage through direct instruction and practice. Learn how to approach reading passages. Practice active reading and how to break apart common components of passages. Practice timed reading and increase reading speed. Instructor: Jennifer Bauer Course: YOU Hours $110 + $40 fee = $150; Non-Md. residents add $25 CRN#: /15 12/10 W 4 5:30 p.m. Writing Foundations Grades 7-10 Develop the building blocks of stronger writing. Both individual and group activities will help you develop your skills. As you become aware of the importance of specific concrete details and the way to create them, you will complete small writing assignments to put your skills into practice. Grammar difficulties, especially errors in sentence structure, will be addressed along the way. All writing will be done in class. Please bring a snack (not containing peanuts) to keep your energy going! Instructor: Geraldine Knasko Green Course: YOU637 $150 + $45 fee = $195; Non-Md. residents add $25 CRN#: /4 12/6 S No class 11/ a.m. MATHEMATICS ENRICHMENT The goal of the mathematics enrichment program is to help students acquire problem solving and logic reasoning skills by teaching meaningful and relevant topics. For information regarding course selection and or requirements, call Instructor: Ms. Zenia Yang Pre-Algebra Grades 4-8 Topics covered include order of operations, decimals, fractions, percents, pattern, relations, and introduction to functions. Questions from Math Olympiads for Elementary and Middle Schools, MATHCOUNTS, and AMC 8 are also covered in class. Course: YOU624 CRN#: /13 12/15 M No class 11/24 4:30 6:30 p.m. 6

7 Algebra I Grades 5-9 (GT) Topics covered include exponents and radicals, linear equations and inequalities, ratio and proportion, systems of linear equations, factoring quadratics, completing the square, and the quadratic formula. Course: YOU625 CRN#: /14 12/16 T No class 11/25 4:30 6:30 p.m. Algebra II Grades 7-11 (GT) Topics include linear equations, systems of equations, quadratics, clever factorizations, complex numbers, graphing, functions, sequences and series, special functions, exponents and logarithms. Prerequisite: Algebra I. Course: YOU627 CRN#: /16 12/18 R No class 11/27 4:30 6:30 p.m. Geometry Grades 6-10 (GT) Topics covered include properties of two- and threedimensional geometric shapes and development of mathematical arguments about geometric relationships. Course: YOU628 CRN#: /15 12/17 W 4:30 6:30 p.m. Pre-Calculus Grades 8-11 (GT) For students who will take Pre-Calculus, honors Pre- Calculus, IB Pre-Calculus, or IB Math Studies. Topics covered include trigonometry, vectors, sequences, and series. Prerequisite: Algebra II. Course: YOU626 CRN#: /13 12/15 M No class 11/24 6:45 8:45 p.m. AP Calculus Support I Grades 9-12 (GT) For students who will take AP Calculus (AB or BC) in May Topics covered include continuity, limits, derivatives of functions and their applications. Course: YOU629 CRN#: /14 12/16 T No class 11/25 6:45 8:45 p.m. SAT Subject Test Preparation for Math Level 1 or Level 2 Grades 9-12 (GT) For students who will take the SAT Math Subject tests in January Extensive mathematics content and important and clever test taking skills will be covered. Course: YOU630 CRN#: /16 12/18 R No class 11/27 6:45 8:45 p.m. Music PRIVATE INSTRUCTION AGES 7 AND UP August 25-December 12, sessions Private instruction in either piano, guitar, violin, viola, cello, flute, percussion, drum set, or voice. Lessons are taught by faculty members who excel in their craft of teaching and performing. The schedule of all lessons will be arranged with the instructor. Lessons are held on the. Fifteen 30-minute lessons 7.5 Hours $425 + $75 fee= $500; Non-Md. residents add $25 Course YOU166 CRN#: Fifteen 45-minute lessons Hours $625 + $75 fee = $700; Non-Md. residents add $25 Course YOU167 CRN#: Fifteen 60-minute lessons 15 Hours $825 + $75 fee = $900; Non-Md. residents add $25 Course YOU168 CRN#: or

8 Germantown Campus Montgomery College Germantown Campus Observation Drive Germantown, (240) The Germantown Campus is located in upper Montgomery County, Maryland, just east of I-270. All buildings at the Germantown Campus are fully accessible. Directions to the Germantown Campus By Car: Take I-270 to Exit 15 East (Route 118). Continue to the second traffic light at Observation Drive; turn right onto campus. By Metro: Take Red Line train to Shady Grove station and transfer to Ride-On Bus Route 55 to on-campus stop. By Bus: The campus is served by Ride On Bus with connections to Metrorail. Legend of Buildings PK Paul Peck Academic/Innovation GN Green House HS Humanities and Social Sciences Building HT High Technology and Science Center OA Office Annex PG Physical Education Complex SA Sciences and Applied Studies Building (Security Office and Admissions and Records) PK 8

9 Montgomery College 51 Mannakee Street Rockville, MD Legend of Buildings AR Paul Peck Art Building By Car From the North: Take I-270 South to Exit 6 (Route 28), W. Montgomery Ave./Rockville. Then take Exit 6A (Route 28) East. Turn left at first traffic light onto Nelson Street. Go to first traffic light at Mannakee Street; turn left. The campus is 1.5 blocks on the left. From the South: Take I-495 to I-270 North/Frederick. Exit on 6A (Route 28, W. Montgomery Ave./Rockville) 1/4 mile north of Montrose Road exit. Follow Montgomery College sign through traffic light (road becomes Nelson Street). Go to first traffic light at Mannakee Street; turn left. The campus is 1.5 blocks on the left. Public Transportation to By Metro Take the Red Line train to Rockville station, then transfer to Metrobus #Q2 (Viers Mill Road Line) to campus stop at corner of Hungerford Drive and Mannakee Street. By Bus Take Metrobus #Q2 (Viers Mill Road Line which runs between Silver Spring and Shady Grove Metro stations) to campus stop at corner of Hungerford Drive and Mannakee Street. AT CB CC CH CS GU HU MK MT MU PA PE RA SB SE SV SW TA TC TT Amphitheatre Counseling and Advising Building (Security Office) Campus Center Child Care Center Computer Science Building Homer S. Gudelsky Institute for Technical Education Humanities Building Mannakee Building (Central Administration) Gordon and Marilyn Macklin Tower Music Building Robert E. Parilla Performing Arts Center Physical Education Center Rockville Annex South Campus Instruction Building Science East Building Student Services Building (Admissions and Records) Science West Building Theatre Arts Building Technical Center Interim Technical Training Center or

10 takoma park/silver Spring Campus Montgomery College Takoma Park/Silver Spring Campus 7600 Takoma Avenue Takoma Park, MD (240) Directions to the Takoma Park/Silver SpringCampus By Car: Take I-495 West to Exit 31 or East to Exit 31B, Georgia Avenue South (Route 97). Continue south on Georgia Avenue past the Colesville Road (Route 29) intersection. Following the signs for Montgomery College, turn left (East) on Sligo Avenue. Follow Sligo Avenue to Fenton Street; turn right. Continue (southbound) on Fenton Street through the traffic light at Philadelphia Avenue (Route 410). The East Garage is just ahead on your right, and the campus itself begins one block farther at New York Avenue and Fenton Street. The West Garage is located off Georgia Avenue on Jesup Blair Drive. A valid Montgomery College parking permit is required. Visitor permits can be obtained from the East Garage (EG) and West Garage (WG) attendants, the Office of Safety and Security on the first floor of the Charlene R. Nunley Student Services Center (ST), and the lobby desk on the first floor of the Health Sciences Center (HC). By Metro Take Red Line train to Silver Spring station, then transfer to Ride On Bus Route 17 or 18. By Bus The campus is served by both Ride On Bus and Metrobus routes with connections to Metrorail. Takoma Park/Silver Spring Campus Legend of Buildings (as of January 2014) CF CM CU DC EG FH HC MP NP P1 P2 P3 P4 RC SN SS ST WG The Morris and Gwendolyn Cafritz Foundation Arts Center Catherine F. Scott Commons Cultural Arts Center Child Care Center East Garage (parking) Falcon Hall (Physical Education) Health Sciences Center Mathematics Pavilion North Pavilion Pavilion One Pavilion Two Pavilion Three Pavilion Four Resource Center Science North Building Science South Building (Planetarium) Charlene R. Nunley Student Services Center (Security Office) West Garage (parking) 10

11 GENERAL INFORMATION & Registration Options Please follow these instructions. Use one form for each student. 1. Make course selection(s). 2. Register online using your credit card (VISA, MasterCard, or Discover) at 3. OR download and complete a Registration Form. Be sure to include student s MC Identification Number. 4. For courses indicated as Gifted and Talented [GT], an additional form signed by a school official is required. You can download this form at Ways to Register 1. Web: Look for registration link under the program area. 2. Fax: Summer Programs: Please indicate your credit card payment information. 3. Mail: Mail form(s) and full payment to: Montgomery College, Workforce Development & Continuing Education, Summer Programs, 51 Mannakee Street, CC220, Rockville, MD Please make all checks payable to Montgomery College. American Express, Visa, MasterCard, and Discover are also accepted for payment. 4. Walk in: Registration(s) must be brought to the Campus Center building, Rockville Campus, Room Registrants will be enrolled in the order that registration and payments are received. Therefore, we urge you to register as early as possible to avoid disappointment. You will receive acknowledgment of registration. Please call Customer Service at if Registration Confirmation is NOT received at least five days before the start of classes. Classrooms and specific locations will be stated on this acknowledgement. Courses may be canceled due to low enrollment. 7. All students must register prior to attending class; do not attend class if you have not registered in advance. 8. Pending funding, partial scholarships may be available for Montgomery County students who demonstrate financial need or qualify for free or reduced lunch. Call or for information. Residency Policy The following are general guidelines taken from the College policy on residency for tuition purposes. A copy of the policy is available in the Montgomery College Catalog. A. Students attending Montgomery College will pay tuition according to their residency. B. To qualify for tuition purposes as a resident of the state of Maryland, legal domicile must have been maintained for a period not less than three months prior to the first regularly scheduled class. Non-Maryland residents must pay a $25.00 out-of-state fee. C. The domicile of a person registering in a noncredit course at Montgomery College shall be considered as a person s permanent place of abode, where physical presence and possessions are maintained, and where he/she intends to remain indefinitely. D. Non-U.S. citizens must submit copy of passport visa or permanent resident card. E. Non-Maryland residents and Non-U.S. citizens pay Out-of-State fees. Refund Policy Youth Programs Only: Class Transfer and/or Class Withdrawal/Drop Fees 1. Class Transfer Requests: Students will be allowed to transfer from one class to another, one time without a charge. Any additional schedule changes will be reviewed and may be subject to a $20.00 fee. 2. Youth Class withdrawal/drop request: Parents who wish to withdraw their child from a course will receive 100 percent refund if written request is received at Montgomery College at least 5 business days prior to the start of the class. Requests to withdraw from a class received within 5 business days of the start of class will be subject to a fee of $ Requests for refunds may be completed by ing the Youth Programs office at sharon.wolfgang@montgomerycollege.edu or karla.espinoza@montgomerycollege.edu or by calling or Please allow 3 4 weeks for refunds. Contributions to the Youth Scholarship Fund You may take advantage of this easy way to make a tax deductible contribution to the College s Youth Scholarship Fund by writing an amount in the place provided on the Registration Form. Disability Support Services Montgomery College Youth Programs is committed to providing accessible education and a supportive learning environment for all students. To help us meet this goal, after you have registered, contact our WD&CE Disability Support Services counselor Natalie Martinez at natalie.martinez@montgomerycollege.edu or at least four weeks before the start of the program to inform the College of any physical disabilities or behavioral / social challenges your child has and to arrange for reasonable accommodations. MC does not provide medical assistants or care attendants. Parents are not permitted to attend camp with their child. The exception to this is for those attending an Intergenerational Program specifically designed for Youth accompanied by Adult(s). Transportation Students and their parents or guardians are responsible for all transportation arrangements. Public transportation is available. Call Montgomery County Transit Information at RIDE. Health Services Should a medical emergency occur, trained personnel from the Campus Security Office will be available to render aid. Questions? You may call anytime Mon Fri 9 a.m. 4 p.m. : or or

12 For Registration Assistance call or Kids College Registration Form Montgomery College Workforce Development & Continuing Education (Please use black pen when completing this form) MC Identification No. Name (Last) (First) (Middle) (This is your Student ID Number. If you have taken courses at MC previously, you should have one. If M F Ext. not, the College will assign your MC (Circle) Date of Birth Home Phone Parent s Business Phone Identification Number for you.) Parent s Name (Last) (First) Parent s Apt. No. House No. Street Address (Check box if new address ) City State School Currently Attending Zip Code Current Grade U.S. Citizen Non U.S. Citizen (Non U.S. Citizens attach copy of your passport visa or permanent resident card) CODE: KC Have you attended MC before? Yes No (Citizen status used for tuition-setting purposes only.) CRN # Course Title Begin Tuition Date Fee Out-of- State Fee Course Total Optional Contribution to Scholarship Fund Indicate payment by: Total Due check (payable to Montgomery College) VISA MasterCard American Express Discover Credit Card Information: Name on Card Expiration Date Card Number 3 or 4 digit Security Code from back of card: Signature Your Name (If different than name on card) Please mail this form with your payment or credit card information to: Montgomery College Workforce Development & Continuing Education Kids College 51 Mannakee Street, CC220 Rockville, MD OR FAX to: Montgomery College reserves the right to use, photograph, reproduce, and publish any work produced by students as part of their educational program. Work is defined as intellectual property as defined or recognized by law and custom created or developed through the application of intellectual efforts by one or more persons. Unless otherwise agreed, work will not be used for any purpose other than educational and to support the mission of the College. I affirm that the information recorded on this application is correct. My child is a Maryland resident and lives in County. I understand that my son/daughter will be attending classes on an open college campus and there will be no student supervision provided outside the classroom. He/she will abide by the rules and regulations of Montgomery College, including exhibiting classroom behavior that allows for a study environment free from harassment, discrimination, and disruption. Behavior contrary to this will not be tolerated and may result in expulsion. Should a medical emergency occur, I grant authority to the Montgomery College Campus Security staff to provide necessary and reasonable medical attention to: Student s Name Parent/Guardian Signature Date I give my permission to have my child s photograph and/or testimonial used in media promotions in conncection with registration and other media campaigns produced by Montgomery College. Parent/Guardian Signature Date RACE: Choose all that apply, you may choose more than one. (Disclosure not mandatory by Montgomery College, but is required by the U.S. Dept. of Education.) American Indian or Alaskan Native Asian Black or African American Native Hawaiian and other Pacific Islander White ETHNICITY: Choose one. (Disclosure not mandatory by Montgomery College, but is required by the U.S. Department of Education.) Not Hispanic or Latino Hispanic or Latino None If your child carries an Epi Pen or takes medication, additional forms are required for registration. For more information, please visit 9/2/09

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