SECTION II: HIGH SCHOOL PERMISSION AGREEMENT
Please indicate the appropriate level of permission below:
The above-named student has permission to enroll in any course that meets Dual Enrollment criteria provided that high school and
MTC prerequisites are met. Eligibility is determined through established MTC assessment metrics and the high school. Metrics
include qualifying SAT/PSAT, ACT/Pre-ACT, and/or ACCUPLACER Placement Test. Information on MTC assessment metrics and
qualifying scores can be found at www.midlandstech.edu/testing
This student is using a 3.0 or higher High School GPA and/or class rank (top 25% of class) to establish eligibility for acceptance to
MTC in lieu of ACCUPLACER placement. Acceptance to MTC is based on demonstrated English proficiency. Math placement testing
may be required. Please note: the approval of the High School Principal (or designee) or Home School Association Director is
required to establish eligibility using the 3.0 or higher High School GPA
Does the student receive free or reduced lunch? □ Yes. □ No
9th and 10th Grade Students Only:
___ I affirm that the above student demonstrates exceptional ability:
> The student meets the College’s qualifying admission and placement metrics satisfactorily to take college level courses. The
student is enrolled in a college preparatory or higher curriculum at his or her high school or home school.
The student is in good standing and has no disciplinary problems at his or her school.
Principal or Designee (printed):
Signature and Date:
High School Comments:
SECTION III: PARENT PERMISSION AGREEMENT
> I understand that by allowing my child to participate in the Dual Enrollment program, I will be responsible for following
the guidelines and academic calendar of not only the high school, but also of the college.
> I hereby give my permission for my son/daughter, , to take Dual Enrolled courses
provided by Midlands Technical College.
> I will be responsible for any tuition and fees associated with courses taken on Midlands Technical College Campuses
> I understand that my student will be registered based on the information available to the College counselor at the time
of registration and that the student and his/her family are responsible for approving the courses my student enrolls in.
> I understand that it is our responsibility to determine the transferability of individual courses to colleges other than those
in the South Carolina Technical College system.
Parent or Legal Guardian Date
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