=
=
=
=
Student Name:
Last Name
Home Phone:
Email Address:
Responsible Parent/Guardian:
College:
High School Counselor & Running Start Advisor/Rep
Running Start Enrollment Verification Form
Check if this is a revision
First Name MI
New Student
Cell Phone:
Returning Student
SSID#:
Student Enrolled in Multiple Colleges
Spring Quarter Eligibility Adjustment
Form (SQEAF) attached.
College SID #:
Free and Reduced-Price Lunch (FRPL) Status
Running Start Funding Limit Table
Students who are FRPL eligible may receive tuition and fee waivers from a college.
Is the student currently eligible for FRPL? Yes No HS Counselor Initials:
The parent or guardian signature below provides permission to share FRPL eligibility status only with the
Running Start college for the purpose of ensuring access to tuition and/or fee waivers. Choosing not to
sign the consent will not affect the student’s eligibility for access to Running Start or free and reduced-
price meals or free milk. The individuals and programs receiving the information will not share the
information with any other entity or program.
0 - 341 0.00 - 0.20 1.00 15
Parent/Guardian Signature: Date:
342 - 457 0.21 - 0.27 0.93 14
School Yr: College Term: College Quarter College Semester
458 - 557 0.28 - 0.33 0.87 13
558 - 674 0.34 - 0.40 0.80 12
High School:
Fall, Winter, Spring Qtr. / 1st or 2nd sem.
675 - 790 0.41 - 0.47 0.73 11
District: Grade Level: Jr Sr 5th Yr Sr
○
791 - 890 0.48 - 0.53 0.67 10
891 -1,007 0.54 - 0.60 0.60
For the college term
Δ
above, the student will be enrolled in high school and skill center
1,008 - 1,123 0.61 - 0.67 0.53 8
classes equaling full-time equivalent (FTE). Student may register for a maximum
1,124 - 1,223 0.68 - 0.73 0.47 7
of college credits, without incurring college tuition costs, based on the above stated
1,224 - 1,340 0.74 - 0.80 0.40 6
high school/skill center FTE.
1,341 - 1,456 0.81 - 0.87 0.33 5
Comments:
1,457 - 1,556 0.88 - 0.93 0.27 4
1,557 or more 0.94 - 1.00 0.20 3
Recommended Running Start Classes:
Signature of High School Counselor Date Signature of College Running Start Advisor/Rep Date
High School Counselor Printed Name Phone Number College Running Start Advisor/Rep Printed Name Phone Number
College Course (Dept. & Number)
Student & Parent/Guardian
• The student is responsible for understanding when his or her choice of schedule will result in tuition charges. If the student enrolls for more high school and
college credits than are identified in the Running Start State Funding Limit Table, the student is responsible for:
1) paying all college tuition and fees associated with exceeding the college credits identified in the table; or
2) withdrawing from the excess college or high school course(s).
• The student is required to pay any class/lab fees charged for college classes.
• Enrollment in specific college classes cannot be guaranteed – even if the classes are needed to fulfill high school graduation requirements.
• To add/withdraw from a course, the student must complete the college Add/Drop process by the college deadline and notify the high school counselor.
• The student is responsible for ensuring that college courses completed as part of the Running Start program will meet high school graduation requirements.
• If the student plans to transfer, it is the student’s responsibilitiy to determine college admissions policies/deadlines and whether credits will transfer.
• The student and parent’s signatures below provide permission for the high school and college to share the Running Start student’s academic records, which
can include the student’s grades, billing, registration, and attendance records regardless of whether FERPA rights belong to the student or parents.
• After completing the college coursework, students are responsible for requesting offical college transcripts through the college’s registrar office.
I acknowledge that I have read and understand both sides of this form, and will comply with the conditions of Running Start participation and the expectations
of college course enrollment.
Student Signature (REQUIRED) Date Parent/Guardian Signature (REQUIRED) Date
FORM SPI 1674 (8/2019) This is a two page form, with the details and instructions printed on page 2. Questions: Students & Parents contact local high school; High school & college staff, call OSPI at 360-725-6300.
A
ttachment B
click to sign
signature
click to edit
![]()
click to sign
signature
click to edit
![]()
click to sign
signature
click to edit
![]()
click to sign
signature
click to edit
![]()
click to sign
signature
click to edit
![]()
click to sign
signature
click to edit
![]()
