PAC Enrollment Form

Respond to the questions below and a representative of the SSTC will reply to you via phone within 48 business hours to complete your enrollment in the PAC program.  You can also enroll in person by meeting with Joel Clement (Conway), Nykia McDonald (Grand Strand), or Katie Powell (Georgetown).

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* 1. Name:

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* 2. H#: (ex: 00000001)

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* 3. Please enter your preferred email address (does not have to be your WaveNet):

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* 4. Please enter your preferred phone number (this is how we will reach out to you to complete your enrollment):

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* 5. What course do you want to sign up for (ex: MAT101):

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* 6. Are you repeating this course?

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* 8. By checking the boxes below, you agree to each of the following items:

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* 9. Please enter your name & today's date to "sign" this agreement digitally

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