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Jefferson Community College Website
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Non-Degree Seeking Student Registration
Thank you for your interest in registering for courses with Jefferson Community College!
COURSE LISTINGS
To view our course offerings please visit the
Course Listings
page on our website.
HOW TO REGISTER
Complete the below application in its entirety, including the 5-digit CRN of desired courses (Search our
Course Listings
). Completion of our placement exam or prior completion of a college-level English or Math course is required to take an English or Math course at Jefferson. If applicable, please provide evidence that you have met the prerequisite requirements (unofficial transcript). If you would like to meet with an Educational Planner, please call 315-786-2437 to schedule an appointment.
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Student Information
First Name
Middle Name
Last Name
Preferred First Name
Pronouns (Optional)
He
She
They
Other
Birthdate
Birthdate
January
February
March
April
May
June
July
August
September
October
November
December
1
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31
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
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2005
2004
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1921
1920
1919
1918
1917
1916
1915
1914
1913
1912
1911
1910
1909
1908
1907
1906
1905
1904
1903
1902
1901
1900
Social Security Number (Please enter your full SSN, this is required to log in to MyJCC)
Email Address
Home Phone Number
Cell Phone Number
*By providing your number, email, and address, you consent to receive notifications from Jefferson Community College including but not limited to text message, phone call, email, and mail correspondence. To unsubscribe, please email
admissions@sunyjefferson.edu
. Msg & Data rates may apply.
Mailing Address
Mailing Address
Country
Street
City
Region
Postal Code
Census Information
Sex Assigned at Birth:
Female
Male
X
Gender Identity (Optional):
Male
Female
X
Transgender Male
Transgender Female
Gender Non-Conforming/Non-Binary
Not sure/Questioning
Other
Additional Gender Information (Optional):
Country of Citizenship:
Afghanistan
Aland Islands
Albania
Algeria
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Ashmore and Cartier Islands
Australia
Austria
Azerbaijan
Bahamas, The
Bahrain
Bangladesh
Barbados
Bassas Da India
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius, and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Clipperton Island
Cocos Islands (Keeling Islands)
Colombia
Comoros
Congo (Brazzaville)
Congo (Kinshasa)
Cook Islands
Coral Sea Islands
Costa Rica
Cote D'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Europa Island
Falkland Islands (Islas Malvinas)
Faroe Islands
Federated States of Micronesia
Fiji
Finland
Foreign/Unknown
France
French Guiana
French Polynesia
French Southern and Antarctic Lands
Gabon
Gambia, The
Gaza Strip
Georgia
Germany
Ghana
Gibraltar
Glorioso Islands
Greece
Greenland
Grenada
Guadeloupe
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong S.A.R.
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Jan Mayen
Japan
Jersey
Jordan
Juan De Nova Island
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau S.A.R.
Macedonia, Republic of North
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Man, Isle of
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Norway
Oman
Pakistan
Palau, the Pacific Islands of
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Qatar
Reunion
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Spratly Islands
Sri Lanka
Sudan
Suriname
Svalbard
Svalbard and Jan Mayen
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tromelin Island
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Wallis and Futuna Islands
Western Sahara
Yemen
Yugoslavia
Zambia
Zimbabwe
Permanent Resident?
Yes
No
Residency Card Number:
Visa Type:
B1 - Temp Visitor For Business
B2 - Tourist
E2 - Treaty Investor, Spouse A
F1 - Student
F2 - Student-Spouse Or Child
H1 - Temporary Worker
H1B - Specialty Occupations, DOD
H2 - Immediate Family Member of H1
H4 - Alien-Spouse Or Child
J1 - Exchange Visitor
J2 - Exchange-Spouse Or Child
K1 - Fiance or fiancee of US Citizen
K2 - Child of fiance/e of US Citizen
K3 - Spouse of US Citizen
M1 - Student-vocational institution
M2 - M1 Spouse or Child
NR - Not required
OT - Other
P - Personal Travel Use Only
PA - Political Asylum
PR - Permanent Resident
TPS - Temporary Protected Status
UN - Undocumented
Race/Ethnicity:
American Indian or Alaska Native
Asian
Black or African American
Middle Eastern or North African
Native Hawaiian or Other Pacific
White
Are you of Hispanic or Latino origin?
Yes
No
Select Your Background:
Central American
Cuban
Dominican
Mexican
Other
Puerto Rican
South Amercian
Unreported
Military Affiliation:
Active Duty
Active Duty Dependent
Active Duty Spouse
Veteran
Veteran Dependent
Veteran Spouse
US Reserves / National Guard
None
Language You're Most Comfortable With:
English
Spanish
Other
If you would like to self-identify with a disability please mark the appropriate category(ies). Someone from the Accommodative Services Office will reach out to connect with you about available services.
801 - No Known Impairment / Prefer Not to Answer
101 - ADHD
102 - Autism
103 - Communication / Speech
104 - Learning Disability
105 - Motor
201 - Blind
202 - Low Vision
203 - Deaf
204 - Hard of Hearing
301 - Mental Health
401 - Basic Chronic Medical Condition
402 - Mobility
403 - Orthopedic
501 - Alcohol/Substance Abuse Recovery
502 - Complex Chronic Medical Condition
503 - Traumatic Brain Injury
601 - Temporary Disabilities
701 - Other Disabilities
Primary Objective at JCC
Transfer to a 4-year institution after earning your degree from JCC
Transfer to another SUNY college after earning a degree from JCC
Transfer to a non-SUNY college after earning a degree from JCC
Transfer to a SUNY college without earning a degree from JCC
Transfer to a non-SUNY college without earning a degree from JCC
Earn a degree/certificate from JCC and seek employment
Learn new skills or upgrade existing skills without earning a degree
Seek enrichment rather than pursue a degree/certificate from JCC
Complete a Micro-Credential
Obtain a New York State High School Equivalency Diploma
Uncertain
Other
Specify "Other":
Did either of your parents graduate from a college or university with a bachelor's (4-year) degree?
Yes
No
Did either of your parents graduate from a college or university with an associate's (2-year) degree)?
Yes
No
Are you unemployed or underemployed and experiencing difficulty in obtaining or upgrading employment?
Yes
No
You have worked primarily without pay to care for a home and family and for that reason you have diminished marketable skills and you have been dependent on the income of another family member but are no longer supported by such income.
Yes
No
You are a parent whose youngest dependent child will become eligible to receive assistance under Part A of Title V of the Social Security Act not later than two years after the date on which the parents applies for assistance under this Title.
Yes
No
School Information
High School Data
I am a current high school student
I was/am homeschooled
I graduated from high school
I have a GED/TASC diploma
I do not have a high school or GED/TASC diploma
High School Name
HS CEEB
HS Graduation Date
HS Graduation Date
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
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15
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18
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21
22
23
24
25
26
27
28
29
30
31
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
HS Graduation Year
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
Completion Year
College Education Data
I have never attended college
I attended JCC last semester
I previously attended Jefferson and have not attended another college
I previously attended Jefferson and later attended another college
I have never attended Jefferson, but have attended another college
Jefferson Student ID
Most Recent College Attended
School Key
Are you a college graduate?
Yes
No
Highest Degree Obtained:
Associate Degree
Bachelor's Degree
Master's Degree
Doctoral Degree
Student Registration Form
Application Type:
Non-Degree
Registration Term:
Spring 2025 (Jan-May 2025)
Spring 2026 (Jan-May 2026)
Spring 2027 (Jan-May 2027)
Spring 2028 (Jan-May2028)
Summer 2025 (June-Aug 2025)
Summer 2026 (June-Aug 2026)
Summer 2027 (June-Aug 2027)
Summer 2028 (June-Aug 2028)
Winter 2024 (Dec 2024-Jan 2025)
Winter 2025 (Dec 2025-Jan 2026)
Winter 2026 (Dec 2026-Jan 2027)
Winter 2027 (Dec 2027-Jan 2028)
Fall 2025 (Aug-Dec)
Fall 2026 (Aug-Dec)
Fall 2027 (Aug-Dec)
Fall 2028 (Aug-Dec)
Are you registering as a cross registered student using the SUNY Cross Registration process.
Yes
No
Name of home institution.
How many classes are you interested in taking?
1
2
3
4
5
6
Search our
Course Listings
to find the 5-digit CRN for your desired courses.
Course 1
Course CRN
Course Name & Number
Course 2
Course CRN
Course Name & Number
Course 3
Course CRN
Course Name & Number
Course 4
Course CRN
Course Name & Number
Course 5
Course CRN
Course Name & Number
Course 6
Course CRN
Course Name & Number
Submit evidence [HS transcript or unofficial college transcript(s)] that you have met the prerequisite requirement(s) for the class(es) you're interested in taking.
Submit
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