Palomar College
Noncredit Application - Fall 2012

Tel (760) 744-1150, ext 2155
Fax (760) 761-3536

Fill in the information below and click the Submit button to email the form to
 Palomar College Admissions. 
For more information contact: admissions@palomar.edu
or call (760) 744-1150, ext. 2155

First Name

Last Name
Palomar ID or Last 4 digits of SSN
Date of Birth, MM/DD/YY

Email Address

Street Address


Zip Code

 Telephone - include area code

Are you Hispanic or Latino? Yes         No
Ethnic Background
Did you attend Palomar College
in Spring or Summer 2012?
When did your present CALIF residency begin?
How long have you resided at your present address?
Have you...
I wish to enroll in the following classes:

Course  1

Course  2

Course  3

Course  4

All noncredit students taking classes at the San Marcos campus or the Escondido Education Center will be required to pay the health fee.  Payment of this fee entitles the student to Palomar College Health Services at the San Marcos campus and Escondido Education Center.

Noncredit students attending any class, any time, day or evening, 7 days a week, at the San Marcos campus or Escondido Education Center are required to display a parking permit. Please see cashier.