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Learn for Life - St. Charles Community College

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Send your registration <strong>for</strong>m and tuition to:<strong>St</strong>. <strong>Charles</strong> <strong>Community</strong> <strong>College</strong>, Corporate & <strong>Community</strong> Development – HUM 1034601 Mid Rivers Mall Drive, Cottleville, MO 63376-2865Or Fax To: 636-922-8686 (credit/debit card payment only)Fees should be included in your payment if indicated in the course description.Name____________________________________________________________________________Address_______________________________ City/<strong>St</strong>ate________________ Zip____________Date of Birth: Mo.______ /Day_____/Year____Home Phone ( )_____________________ Email Address_____________________________Work Phone ( )______________________ Emergency Contact ( )___________________MC-VISA-Disc. #_________________________________________Exp. Date_______________3-Digit Security Code _________Signature ___________________________________________DAY/DATE TITLE TUITION------Sample ------Sat., March 6 Money Management $49.00TOTAL AMOUNT DUE $ _________Class LocationsClasses are located on the SCC campus unless otherwise noted. Class location in<strong>for</strong>mation is listedbelow. NOTE: For on-campus classes, students should go to the Humanities Building, Room 103, during officehours or call 636-922-8233 <strong>for</strong> specific room assignments. After hours and on Saturdays, go to the ADM WelcomeCenter/In<strong>for</strong>mation Desk.Locations found in this schedule<strong>St</strong>. <strong>Charles</strong> <strong>Community</strong> <strong>College</strong>4601 Mid Rivers Mall DriveCottleville, MO 63376636-922-8000Katy Bike Rental2998 Hwy 94 SouthDefiance, MO 63341636-987-2673Sherlock's <strong>St</strong>eak & Seafood5373 Highway NCottleville, MO 63376636-939-9922Equal Opportunity PolicyThe <strong>College</strong> is committed to non-discrimination and equal opportunity regarding the treatment of students, faculty and staff. The <strong>College</strong>adheres to a strict non-discrimination policy in student admission, educational-programs, activities and employment regardless of race,color, sex, sexual orientation, religion, creed, national origin, ancestry, age, veteran status, disability or genetic in<strong>for</strong>mation. The <strong>College</strong> isan equal opportunity employer. Inquiries may be directed to: Vice-President <strong>for</strong> Human Resources, 4601 Mid Rivers Mall Drive, Cottleville,MO 63376-2865.STCHAS.EDU/LEARNFORLIFE | 636-922-8233 32

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