Course Request Form

RichmondCC Course Request Form

Use this form to request a RichmondCC course that is not currently scheduled or even a new course that hasn't been offered before.

Tell us about yourself.

First Name *

Last Name *

Email Address *

Birthdate *

Mobile Phone Number *

If you are a current or recent RichmondCC student, please enter your student ID number if known. It is seven digits and begins with zero.

Desired Courses and Delivery Method

What course or courses would you like to take? *

What course delivery method do you prefer? *

Traditional (100% in-person/face-to-face)

Hybrid (combination in-person and online)

Online

No preference

Location and Time

If this course were offered in a traditional or hybrid format, which location(s) could you attend? (Check all that apply.) *

Hamlet

Laurinburg

Rockingham

If the course were offered in-person or in a hybrid format, what time of day would you like the class? *

In what semesters would you prefer the course to be offered? *

Fall

Spring

Summer

Other

Employment

This course is needed to enhance your skills for *

Current career

New career

Please tell us your position and your employer.

What career are you wishing to pursue?

Is there any additional information you can provide to help RichmondCC better serve you?