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After April 1, you will need permission
from the school principal to participate.
Student Grade Level 2021-2022
INTENT TO PARTICIPATE IN COLLEGE CREDIT PLUS
ACADEMIC YEAR 2021-2022: PUBLIC SCHOOLS
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 upcoming 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 in the program.
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.
Please sign and return this form to the secondary school by April 1. If you unable to sign this form digitally, please print it
and sign the paper copy. Please check with your school counselor to see if you need to submit this form to them electronically
or as a printed document.
Parent Signature ________________________________________________________________________
Student Signature ________________________________________________________________________
Date _______________________
Continued on page 2
click to sign
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