Continuing Education/Non-Credit Registration Information

Phone: Call (865) 539-7167 or (865) 539-7166
Fax: (865) 694-6583
Mail: Pellissippi State, BCS Registration, P.O. Box 22990, Knoxville TN 37933-0990 

This form will notify us that you are wanting to register. You will not be officially registered for the course(s) until we receive payment. Please contact us regarding method of payment.  You may mail a check or pay by phone with a credit card. We accept Visa, Mastercard, Discover, and American Express.

ONLINE REGISTRATION FORM
Complete the fields below and hit the "Submit Form" button to submit your registration. The form will be sent to our office via email. Any field labeled with an "*" must be completed (incomplete forms will result in enrollment delays). 

You will not be officially registered for the course(s) until we receive payment.

Name*
Mailing Address*
City*
State*
Zip Code*
E-mail Address*
**Please provide at least two contact numbers**
Home Phone Number*
     (please include area code)
Cell Phone Number
please include area code)
Work Phone Number
     (please include area code)
Fax Number
     (please include area code)
Business Name
     (if applicable)
Business Address
Business City
Business State
Business Zip Code
Course Selections
Indicate the three letter course prefix followed by a three digit course number and the three digit section number that begins with either "P", "M", "D", "B", "G", or "X". Please include the course price also. 
  Course Number            Price                              Course Name
 



Example: To register for Introduction to Windows that meets on Friday, September 7 at 8:30 a.m. you would enter:
COM 050P09   $150   Introduction to Windows
Questions, Comments or Special Needs
Information requested for statistical purposes only:
Sex Male 
Female
Year of Birth
U.S. Citizen? Yes
No



Reminder: You will not be officially registered for the course(s) until we receive payment!


Pellissippi State Technical Community College
Business and Community Services
P. O. Box 22990
10915 Hardin Valley Road
Knoxville, TN 37933-0990
(865) 539-7167