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Web Registration Form


Our part-time registration form can be used for Spring 2015. Students will be contacted by email concerning any pre-requisites, the availability and the cost of their registration. Payment is due for Spring 2015 on Students taking 5 or fewer credit hours must pay by January 7th. Students enrolled in 6 or more credit hours must pay by January 30th. (Students registering after these dates will need to pay at the time of registration with a Visa or MasterCard over the phone.)

This form is not to be used for full-time registration. Students registering for 12 or more credits may use Mustang WebAdvisor or Registration and Records after advising.

Please fill out all fields as completely as possible. Registration for courses requiring proof of a pre-requisite may be delayed until transcripts or assessment scores are received by WWCC.


Name and Demographic Information: (Legal name--no nicknames please)

First:      Middle:      Last:   

Social Security Number:       Birth Date:    

E-mail address:

Items in blue are for reporting purposes only.  Students will not be identified individually in any reports.

Gender:   Male     Female

Ethnic Status:

American Indian   
Hawaiian/Pacific Islander 
Non-Resident Alien 

Marital Status:  Single      Married      Divorced

Permanent Mailing Address:

Street Address:    P.O. Box (if any): 

City:  State:   County:   Zip:  

Permanent Phone Number:  

If a Wyoming resident, how long have you lived in Wyoming?   years

Emergency Contact:   Name:    Phone: 

Primary Reason for Enrollment:

Degree Seeking (taking courses, planning to receive an Associate Degree, and transferring to a 4-yr. institution)

Degree Seeking (taking courses, planning to receive an Associate Degree and go to work in my field)

Certificate Seeking (taking courses to receive a certificate and go to work in my field)

Taking Courses for Transfer, Not Degree Seeking

Taking Courses to Develop new Job Skills

Upgrading Current Job Skills or Retraining

Personal Enrichment or Exploration

Teacher Recertification

Other:  (Specify) 

Do you give WWCC permission to release your name, address, and enrollment status as part of our directory information?    Yes   No

Course Information:

Which semester are you registering for:

Please fill out course information.


Synonym Number


Course # (Include Section Number)


Course Name









Questions or things we need to know about your registration:


Payment Options:

  I will contact WWCC with credit card information--382-1641  (MasterCard or Visa only)

I will mail a check or money order. (Registration will be completed upon receipt.)

I certify that this registration was completed by the student (me).  Registrations completed by any other party constitute fraud.

Financial Commitment Statement

I understand that once my registration is processed, I am officially registered for the semester and am responsible for all debts incurred. If my account is not paid in full, I understand that the College may hire a collection agency to take action. If my account is assigned to a collection agency, I understand that I am responsible for all attorney fees, court cost or delinquency fees that may be incurred during the collection of my debt. I understand that the delinquency fee will be equal to 50% of the principal amount owed. If a refund is due from my account, I authorize the College to automatically issue a refund check.

** Dropping and adding courses may adjust your student account or effect your financial aid. Contact Registration & Records or the Financial Aid Office using or 307-382-1600 or 800-226-1181.


Submission of this application constitutes the student's signature on the registration.


If you have any questions please feel free to contact us at:

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