Meriden Adult, Continuing & Career Education

Online Registration


Please complete the following form: *

Select course you want to take: *

Which semester and time will you be attending: *

Personal Info:

Marital Status: *
Gender: *
Ethnicity: *
Race: * (Check all that apply)

Contact Person's Relationship: *


Employment Status: *

Parent/Guardian of (select all that apply) *

Education: *

Highest Educational Level/Degree Completed at Entry (Write in the grade level):
Last school attended and address:

Disability: *

Military Service Experience: *

Employment Barriers: * (select all that apply)

Educational goals/reasons for enrollment: * (select all that apply)

Family and Community: * (select all that apply)

Please upload the mandatory documents below.  If documents are not available at this time, you may upload them at a later time using the form found here.  Documents must be received before the registration period ends on February 4, 2022.

Upload Photo ID:

Upload Proof of Residency:

Typing my name on this registration form affirms that I understand student information is confidential and will only be used for program administration, research and evaluation purposes.