FTCC

Student Participation Confirmation Form

Student:  Completing this form will confirm your participation in an online, hybrid or telecourse/CBC class.  The College is required to provide documentation that you are actively participating in your class between the first day of class and the 10% point.  Please enter the information below and click on the 'submit' button.  If you are taking more than one online class, you will need to complete this requirement for each class. Only complete the form once for each class.  Do not press the "submit" button more than once.     Thank you for your participation.

Your Last Name:
Your First Name:
Your Middle Initial
Your SSN: (Last 4 Numbers ONLY)
Course Name:
Course Section Number:
Instructor's Name:
Your FTCC eMail Address: