NAME:
ADDRESS:
2020 RUNNING START APPLICATION
High School to Cochise College
SH 2/2020
COCHISE COLLEGE
901 North Colombo Avenue
Sierra Vista, AZ 85635-2317
Cochise College ID# (C#) (If issued one) E-mail
High School City/State
High School Credits Earned
By signing I understand that if accepted into the Running Start Program, my child is committing to attend four class periods at
his/her
high
school and the rest of the school day at Cochise College. I also agree that if any problems arise my child will be
subject to removal from Running Start and will return to his/her regular high school.
Please Note: If you are submitting this form electronically simply type the appropriate names into the signature boxes below
and verification will occur during the student/parent interview.
Email:
Fax: (520) 515-5360
Last, First MI (Please Print)
City State Zip Code Phone
Street Address Apt#
STUDENT SIGNATURE
DATE
PARENT SIGNATURE DATE
Notifications for interviews with students and parents will be sent out.
Return Completed
Application by:
May 4, 2020
PROMINENT ETHNIC ORIGIN:
DATE OF BIRTH:
CITIZENSHIP STATUS:
What level of math have you taken up to this point?
Please describe yourself (statistical purposes only)
GENDER:
MALE FEMALE
US CITIZEN
OTHER (specify)
Hispanic/Latino
White Black
Native Hawaiian/Other Pacific Islander
Asian/American Other (specify)
Mail:
SDC - Counseling & Advising
Attn: Running Start
Cochise College
901 N. Colombo Ave.
Sierra Vista, AZ 85635
Deliver:
SDC - Counseling & Advising
Sierra Vista Campus, Bldg 1000
901 N. Colombo Ave.
Sierra Vista, AZ 85635
Current Grade Level Graduation Date
GPA
Career Choice(s)
running-start-info@cochise.edu
Phone: (520) 515-5483
STEM
