Revised: August, 2012
: PRIOR TO ADDING, DROPPING OR WITHDRAWING FROM A CLASS, YOU MUST SEE YOURHIGH SCHOOL COUNSELOR.
SECTION B: To be read by Student and student’s Parent/Guardian
Signatures below indicate that you wish the above named student to participate in the Concurrent Enrollment Program by enrolling incollege courses. In addition, you/your student understand your signatures below indicate you/your student understand and are inagreement with the following:
Advice and counsel regarding such participation has been received from the student’s current high school.
The student understands that he/she may enroll in Guarantee Transfer courses and/or courses which apply to a specific pathwayas long as they or an equivalent are not available in their high school or school district.
The student will meet the same course expectations and prerequisites as college students, as noted in the course catalog and/oron the class syllabus.
The grade(s) received in course(s) will appear on the student’s official high school and college transcripts.
Course credits may transfer if the student earns a “C” or better in a Guarantee Transfer course, or a course accepted by a postsecondary institution.
If a student withdraws from a course at the college after the drop/add date, they will receive a “W” or “F” on their collegetranscript. In addition, if a student receives a “D” or “Incomplete” in one or more classes after the drop/add date, the studentand parent/guardian will be responsible to St. Vrain Valley School District (SVVSD) for the full payment/reimbursement of tuition for the respective course(s).
The course(s) satisfy college degree requirements and align with the student’s Individual Career & Academic Plan (ICAP).
With regard to college activities, qualified students may participate in activities but are not eligible for NCAA athleticactivities.
The student will need to register for College Opportunity Funding (COF) and understands the credits earned will be deductedfrom the COF lifetime account at institutions which receive COF funding.
Signatures indicate authorization of my College Opportunity Fund (COF) to the College. I authorize the high school/schoolSVVSD to release my SASID # to the college for the purpose of COF, at institutions which receive COF funding.
In compliance with the
Family Educational Rights and Privacy Act (FERPA) of 1974
, the student gives permission to theabove noted college to report absences, disciplinary issues, and the release of grades, transcripts, in progress grades, and classschedules, as available, to the above noted high school for the courses enrolled under the Concurrent Enrollment Program.
If enrolling in a Concurrent Enrollment class somewhere other than the local community college (i.e. CU), the studentwould only be eligible for the amount of tuition at the local community college tuition rate. The payment of any tuitioncharged above the community college rate will be the responsibility of the parent(s). The College will bill the studentfor the remaining tuition. This includes the change of enrollment from a community college to a four year collegeregardless of the reason/circumstance (i.e. does not fit schedule, not offered at community college, etc.)
I wish to pay my own tuition. (Applies to students who are ineligible for Concurrent Enrollment.) Note: The District does not paytuition for home school students unless they are enrolled as a part-time student – a minimum of 2 courses. The District will reimburse amaximum of 6 credits to home school students.
SELECTIVE SERVICE (“THE DRAFT”)
All males between the ages of 17yrs 11mos and 26yrs* must answer this question. *Age atthe start of class. Are you registered with Selective Service? (For more Information:www.sss.gov)
DELIVER THIS FORM TO YOUR HIGH SCHOOL COUNSELOR.
This agreement is student and college specific. A separateagreement and college application must be completed for each eligible post-secondary institution the high school student plans to attend.
In signing this agreement, I authorize the college to release my transcript to my school district at the end of the course and agree to allinformation under Sections A and B.____________________________________________________ ____________________________________________________Student Signature and Date Parent/Guardian Signature and Date