Intent to Participate

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INTENT TO PARTICIPATE

(To Be Signed Front and Back)

Delaware City Schools

Date ______

AFTER APRIL 1, YOU WILL NEED PERMISSION FROM THE SCHOOL DISTRICT SUPERINTENDENT TO PARTICIPATE.

Student Name ______

Parent/Guardian Name ______

Home Address ______

Course(s) You Intend To Take______College(s) ______

PREFERRED METHOD OF CONTACT:

Parent Phone Number (Day)______(Evening)______

Parent Email Address ______

Student Contact Info ______

School ______Grade in 2017-2018 ______

I would like to declare my intent to participate in the College Credit Plus program. I understand that signing this form does not require that I participate during the coming school year and I may decide not to participate without consequence. I also understand that it is my responsibility to notify my school if I do not gain admission to my selected institution of higher education or choose not to participate for some other reason.

In addition, I certify that I have received counseling about the College Credit Plus program concerning the rules and regulations for both my school and the college, and that I understand my responsibilities, the benefits and possible risks of participating in the College Credit Plus program.

Student Signature ______

Parent Signature ______

(Please turn over for additional information and signatures needed)

(Continued)

I, ______, the parent/guardian of ______understand we have the following responsibilites:

1.  Apply to any and all chosen colleges prior to the college’s deadline and achieve the minimum requirements for admission including taking any and all required placement tests such as Accuplacer or ACT/SAT.

2.  Communicate all College Credit Plus plans with the school counselor prior to enrolling in courses to ensure graduation requirements will be met. Many schools require a form to be signed by a school counselor and submitted with a transcript prior to a student registering for courses.

3.  Provide a schedule of courses and list of books needed to the school counselor prior to the start of a given semester if taking courses off Hayes’ campus. MTC, CSCC, OSU students must obtain their own books through the college’s method, but DCS will pay for the books.

4.  Communicate with the student’s college regarding registering for courses.

5.  Withdraw from a course, if desired, by the on-time withdrawal date of the college.

6.  Provide reimbursement to Delaware City Schools for any failed course or one dropped after the 14th calendar day of the semester. Reimbursement includes tuition costs only.

7.  Be aware of how CCP will affect athletic eligibility.

8.  Provide transporation to and from college courses taken on a college’s campus.

Print Full Parent Name ______

Parent Sign ______Date ______

This form is valid for one school year and must be signed each year of CCP participation.