Do not print the form and fill it out by hand.  
 

Enter all the required information online, use the "Print and Sign" button at the bottom of the form to generate the official PDF copy.
 Adobe Reader required. Click here Download Adobe Reader to install.
 
The official copy will have a barcode in the lower left corner and a signature line at the end of the form.
 

After you print and sign the form, bring the form to the Enrollment Services Office on the first floor of Lynnwood Hall, OR fax the form to 425-640-1159, OR mail the form to: 
 
Enrollment Services 
Edmonds Community College 
20000 68th Ave W 
Lynnwood, WA 98036 

Registration Form – Enrollment Services
 Student Name     Last: (Surname):      First:      M.I.: 
 Student ID Number:    -- Help  Birthdate:  //   MM/DD/YYYY
 Year/Quarter:    Help  Social Security Number: -- Optional
Did your phone number or address change?    Yes   No
If yes, make changes:
  • Online: Go to www.edcc.edu/students/ and click on "Home Address/Phone Number Change."
  • In Person: Go to Enrollment Services, 1st floor, Lynnwood Hall.
What is your main long term goal for attending EdCC?    What is your program of study? If possible provide program code. (i.e. AAUD) 
Take courses related to current or future work
Transfer to a four-year college
High school diploma or GED
Explore career direction
Personal enrichment
Other
I know my program code:
I do not know my program code, but I plan to go for:
I am undecided on my program of study.
I do not have a program.
 
 
  
   ITEM NUMBER
(4-digits)
 SEC.
LTR.
 Department
Abbreviation
 Course NO.
 Credits  OFFICE USE
ONLY
 DAY/TIME  Entry Code / Instructor's Signature / Comments
 9  8 7 6  B  ENGL   1  0  1  5 Example M-Th, 9:30–10:20  If needed, have instructor sign or attach a printed email
ADD
   
   
   
   
   
   
   
DROP
   I HEREBY CERTIFY UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON RCW 9A.72.085 THAT TO THE BEST OF MY KNOWLEDGE, ALL STATEMENTS ON THIS FORM ARE TRUE AND CORRECT.
 
  ________________________________   ____________
   Student Signature Date        
   
  ________________________________   ____________
   Advisor's Signature Date        
 All important information from the college goes through EdMail. For more information, go to: www.edcc.edu/edmail/
   This button will generate a pdf form.
 Please print the PDF and sign

 
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