NJBIA Open Enrollment Rowan College at Burlington County

Open Enrollment - Course Selection

Please select a course you would like to attend. An email confirmation will be sent after you submit your registration. If the class you wish to register for is filled, please reach out to Customized Training, customizedtraining@rcbc.edu.
Ref #
College Name
Course Selection*
Start Date
End Date
Class Hours
# students hours in class
# students in class
Open Enrollment
Your Personal Information
Name*

First NameLast Name
Email*
Phone Number*
Please enter a valid phone number.
Date of Birth*

MonthDayYear
Date
Job Title*
Your Wage Code*

A = $15/hour or lessB = $15.01 - $20/hourC = $20.01 - $25/hourD = $25.01 - $30/hourE = $30.01/hour or above
Employer Name & Address

*These classes are funded through a partnership between the NJ Business & Industry Association, the NJ Community College Consortium, and the NJ Department of Labor to ensure a skilled workforce in New Jersey. If your employer operates in NJ and pays taxes, they have already contributed to funding these classes. This information is required to verify eligibility.
Employer Name*
NAICS Code
Legislative District
Federal Employer ID Number (FEIN)*
DUNS Number
Street Address*
City*
State*
Zip Code*
County*
Manager's Email Address*
Manager's Phone Number*
Electronic Signature

Please read carefully and sign below.
The following statement is in accordance with the Higher Education Act.

I grant permission to the College and NJ Community College Consortium for Workforce & Economic Development & Member Colleges to share information including the transfer of grades, credits, and other academic records, where applicable, among other organizations and/or agencies/businesses that provide funding for this training. I have secured my employer's approval for attending this course in accordance with the company policy and NJ Department of Labor (funding agency) regulations.

College Cancellation Policy: If I am unable to attend the class I registered for, I must notify the College at least seven business days prior to the class date. I understand that I have the option to send an eligible participant to attend the class in my place. I will contact the College with the replacement's contact information within 48 hours before the class date.

I understand that I may be billed for non-attendance.
Your Initials*
Date*

MonthDayYear
Date
Should be Empty:

Open Enrollment - Course Selection

Employer Name & Address

Electronic Signature