MyRVCC River Valley Extranet > Registrar > Forms > Course Add to Waitlist Form

Course Add to Waitlist Form

Student are not currently able to add themselves to a waitlist in SIS. Please fill out this form to be added to a waitlist. If there is a space available when the form is processed you will be added at that time.
Semester*
- Fall
- Spring
- Summer
Year*
Student ID#*
Name*
First Middle Last
Program Major
E-Mail Address*
Enter Email Confirm Email
Mailing Address*
Street Address City State ZIP Code
Physical Address
Street Address City State ZIP Code
Home Phone
Cell Phone*
- Check here if this is a change in address, phone, or e-mail.
Federal Governmental Statistical Information (Optional)
Gender you identify as:
- Female
- Male
Have you ever served in the military?
- Yes
- No
Ethnic Background
- Hispanic or Latino
- Not Hispanic or Latino
Please specify your ethnicity (categories from Federal IPEDS):
- American Indian or Alaska Native (A person having origins in any of the original peoples of North and South America (including Central America) who maintains cultural identification through tribal affiliation or community attachment.)
- Asian (A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian Subcontinent, including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.)
- Black or African American (A person having origins in any of the black racial groups of Africa.)
- Hispanic/Latino (A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin.)
- Native Hawaiian or Other Pacific Islander (A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.)
- White (A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.)
- Two or more ethnicities
- Ethnicity unknown
Choose the option that best describes your citizenship:
- US Citizen
- Nonresident alien (A person who is not a citizen or national of the United States and who is in this country on a visa or temporary basis and does not have the right to remain indefinitely. A person who is not a citizen or national of the United States but who has been admitted as a legal immigrant for the purpose of obtaining permanent resident alien status (and who holds either an alien registration card (Form I-551 or I-151), a Temporary Resident Card (Form I-688), or an Arrival-Departure Record (Form I-94) with a notation that conveys legal immigrant status such as Section 207 Refugee, Section 208 Asylee, Conditional Entrant Parolee or Cuban-Haitian).)
Last 4 of SS#*
Please note: If your full SSN is not in our database, we will call you for that information. Never email your full SSN. Only share your information when you are able to confirm it is RVCC requesting it.
Date of Birth
MM slash DD slash YYYY
You can click on the plus sign in the circle to be added to the waitlist for multiple courses. If the course has separate lecture and lab components, please remember to list both CRNs. Please fill out each field of course information. If information is missing, we will be unable to add you to the waitlist.
*
CRN# COURSE NUMBER SECTION COURSE TITLE LOCATION CREDITS
Total Credits
Before you submit this form, please read the following notice: I certify that I reside at the address provided above. I have met any prerequisite and/or corequisite courses that may be required for any of the above courses. (Attach transcript or grade report if prerequisite/corequisite courses were taken off-campus.) (See back of this form if registration waivers are necessary.) I accept responsibility for the selection of and payment for the courses as indicated above. I have read and understand the Refund/Withdrawal Policy. NOTE: I understand that I must fulfill my financial obligation two weeks before the start of the semester, or my registration will be voided and my classes deleted. (See payment options below.) I agree that by registering for courses within the Community College System of New Hampshire (CCSNH), I am financially obligated for ALL costs related to the registered course(s). Upon a drop or withdrawal, I agree that I will be responsible for all charges as noted in the student catalog and handbook. I further understand that if I do not make payment in full, my account may be reported to the credit bureau and/or turned over to an outside collection agency. I also agree to pay for the fees of any collection agency, which may be based on a percentage of the debt up to a maximum of 35%, and all additional costs and expenses, including any protested check fees, court filing costs and reasonable attorney’s fees, which will add significant costs to my account balance. (Effective 4-1-14)
If admitted to the course, for courses with a duration of more than 2-weeks and less than 15-weeks I understand that I have one week from the first day of the course’s term to receive a full refund by dropping via SIS. I will regularly check my SIS account for registration status and payment balance information.
Student Signature*
Date*
MM slash DD slash YYYY
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Untitled
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Untitled
Email
This field is for validation purposes and should be left unchanged.

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Tel: (603) 542-7744
rivervalley@ccsnh.edu

CRN#	COURSE NUMBER	SECTION	COURSE TITLE	LOCATION	CREDITS