Fayetteville Technical Community College

Corporate & Continuing Education
Student Contact Form


Received an error message registering? Your account might be inactive Complete this form to allow us to update and activate you account, provide you with class changes or possible cancellations If you have questions, contact Continuing Education's Records & Registration Office at 910-678-8386 or ceonline@faytechcc.edu
Personal Information
First Name:	A value is required.
Last Name:	A value is required.
Student ID or Last 4 of SSN:	A value is required.Invalid format.Minimum number of characters not met.Exceeded maximum number of characters.
Phone Number:	A value is required.Invalid format.
Birth Date:	Please select an item. Please select an item. Please select an item.
Email Address:	A value is required.Invalid format.A value is required.Invalid format.
Citizenship Country:	Please select a valid item.Please select an item.
Employement Status:	Please select a valid item.Please select an item.
Current Address
Street:	A value is required.
Apartment:
City:	A value is required.
State:	Please select a valid item.Please select an item.
Zip Code:	A value is required.Invalid format.
County:	A value is required.
If you have ever registered using another name, please enter that information here.
Former First Name:
Former Last Name:
If you received an error message complete your contact information and the class you are interested in and our staff will contact you during regular business ours.
Class name:
Class dates:
Name Change
If a name change is requested, form must be delivered in person with required documentation.
Students MUST present a picture ID and Social Security Card with new name printed on both forms before any name changes can be made.
Former Last Name:
Former First Name:
Former Middle Name:
New Last Name:
New First Name:
New Middle Name: