Southwestern Community College

Online Acceptance of Responsibility

Last Name*

First Name*

I have discussed my enrollment options with Southwestern Community College personnel. My counselor, advisor, and/or staffing team recommend that I limit to one online course for the semester due to the following reason(s):

Select a reason First enrollment into online courses
Assessment scores
Course load
Other

Explain

However, I do choose to enroll in the following online classes:

Online class list:

By clicking the submit button below, I accept all responsibility for my decision and understand that my actions may result in a lengthened educational program if course completion is unsuccessful.

Data Consent* I agree that by submitting this form/application to Southwestern Community College, I give consent to Southwestern to store and use personal and academic-related information for all recruitment and academic records-related activities. I also agree to allow Southwestern to use multiple forms of communication for the purpose of recruitment and academic-related information during my academic career. I understand that if I do not agree to this statement, this form/application cannot be submitted.

SWCC Online Acceptance of Responsibility

Southwestern Community College

Online Acceptance of Responsibility

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