G A D S D E N S T A T E
C O M M U N I T Y C O L L E G E
ACCELERATED HIGH SCHOOL
PROGRAM APPROVAL FORM
(All fields must be completed and form submitted prior to admission.)
Part 1: Student Information
Student Name_____________________________________________________________________ Entrance Term/Year_______________
(Spring/Summer/Fall 20XX)
Name of High School________________________________________________________________________________________________
Student Date of Birth__________________ Grade Level___________________ Expected Date of H.S. Graduation ____________________
Part 2: Accelerated Enrollment Criteria
Student must meet admissions requirements established by Gadsden State for accelerated enrollment.
Student must have a minimum cumulative/unweighted high school grade point average of 3.0 on a 4.0 scale.
Student must have written approval of the principal or his designee indicated at the bottom of this form.
Student must have completed the 10
th
grade or have an exception granted by the Chancellor.
Student must have completed the high school prerequisites for the courses in which he/she wants to enroll.
Student must take a state-approved college placement test, where minimum placement is required.
Part 3: Student Acknowledgement
Student must make payment for tuition and fees by the established deadlines or risk automatic drop for non-payment.
Students with disabilities who may require special accommodations must file the appropriate documentation with the Disability
Compliance Officer before accommodations may be made.
Courses offered by the postsecondary institution will be of postsecondary/college level. Course curricula and subject matter will not be
modified. Students enrolled as Accelerated will only receive college credit. Courses may not be audited.
Students must adhere to all institutional policies and requirements including, but not limited to, those outlined in course syllabi, the
academic calendar, the college catalog, and the Student Code of Conduct. The institution reserves the right to refuse re-admission to
any student who violates institutional policies.
Earned course credit completed at Gadsden State Community College will be held in escrow until the student provides proof of high
school graduation (final high school transcript). Transcripts issued prior to a student’s high school graduation will be labeled
“Conditional Credit. Upon proof of high school graduation, this notation will be removed from the transcript.
Accelerated students are not eligible for federal student aid.
*Signature of Student_________________________________________________________ Date______________________
*By signing, I acknowledge and understand all of the above. I understand that I am subject to the Federal Education Rights and Privacy Act of 1974 (FERPA), as outlined in the GSCC
Catalog and Student Handbook.
Part 4: Criteria Verification and ApprovalTo be completed by High School Administrator(s)
Student meets GPA requirement. Student’s GPA on 4.0 Scale (unweighted): ______________________
Student has completed the 10
th
grade.
Approval:__________________________________________________________________ Date_______________________
Principal/Designee Signature
Admissions Office | P.O. Box 227 Gadsden, AL 35902-0227 | (256) 549-8210 | admissions@gadsdenstate.edu
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