Columbia Early College High School Application

902 Main Street Columbia, NC 27925

Personal Data:CurrentHomeCell

Grade_____Phone ______Phone ______

Student

Name: ______Sex: M F

LastFirstMiddle

Mailing Address: ______

Physical Address: ______

City/State/ZIP: ______

Birth Date: ______Birthplace: ______SS #: ______

(REQUIRED BY BCCC)

Parent/Guardian Name: ______

Student lives with:

Both parents Father MotherGrandparent/sOther ______

Be fully specific

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Student Name

In a brief personal expository essay, please explain the reasons that you want to enroll at Columbia Early College High School (ECHS).

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Your signature below indicates that the above essay is your handwritten work and that you agree to abide by the following expectations for the Columbia ECHS.

To attend school daily and arrive on time to all classes.

To abide by and cooperate with Columbia ECHS, Beaufort County Community College, and College of the Albemarle.

To have a parent/guardian notify the school on the day of an absence.

To devote a minimum of 2 hours each evening to homework and study.

To keep your parents/guardians informed of your academic progress.

To stay in school until a high school diploma is earned.

To enroll and be successful in college classes.

To attend tutorial sessions and/or seminar as required. NOTE: A failing grade on an interim report OR a report card results in being required to attend tutorial from 3:30 - 5:00 two days per week. This requirement is in place until passing grades are earned in all subjects, either when the next interim report or the next report card is issued.

Student Signature: ______Date: ______

Student Name: ______

Why do you want your child to attend Columbia Early College High School (ECHS)?

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Students succeed best when the school, parent, and the student work together. Your signature below indicates that you agree to the following expectations of you as a parent of a student at Columbia ECHS.

To require your student to school daily and arrive on time to all classes.

To require your student to abide by and cooperate with Columbia ECHS, Beaufort County Community College, and College of the Albemarle.

To notify the school on the day of an absence.

To provide a minimum of 2 hours each evening to homework and study.

To expect and follow up on progress reports and report cards.

To expect and encourage your student to stay in school until graduation.

To expect and encourage your student to enroll and be successful in college classes.

To expect and encourage your student to attend tutorial sessions and/or seminar as required. NOTE: A failing grade on an interim report OR a report card results in being required to attend tutorial from 3:30 - 5:00 two days per week. This requirement is in place until passing grades are earned in all subjects, either when the next interim report or the next report card is issued.

To attend and participate in Columbia ECHS activities and parent conferences.

Parent/Guardian Signature: ______Date: ______

Student Name: ______

This page is to be completed by the parent/guardian. All information given on this page is confidential and is needed for our Federal/State reports.

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