Please be aware you must fill out a seperate registration for each semester.

1. First Name
2. Middle Initial
3. Last Name
4. Address
5. City
6. State
7. Zip Code
8. Birthdate (MM/DD/YYYY)
9. Grade Level
10. Student Email
11. SVCC ID Ex. @99887766
12. Term Summer 2020Fall 2020Spring 2021
13. High School/Counselor Rob WissingerAmy DrewAimee StollerSteve HodsonAmy EbertPaula DurbandTerri HellerDave BaisdenStacey BontzJennifer StreetsDebbi KellyAmy FleckJim TurffsShannon CremeensAngelia FallerIda HolperJason SandsJamie LeechJeffrey GaleChristine HerronKaileen GaumerDarci FrancisPam MedemaJohn KotmanLacy BangertTest - Geoff Bork
14. Parent/Guardian E-mail Address
15. My electronic signature indicates that I give my consent and authorize Sauk Valley Community College to release my education records to my high school and to my Parent/Guardian (Please fill in Parent/Guardian)
16. If applicable I give my high school permission to release my IEP of information about accommodations through 504 to the Special Needs Coordinator at Sauk Valley Community College in order to arrange appropriate accommodations (Electronic Signature)
17. Electronic Signature