Documentation Requirements
High school students must submit the following to the Admissions Office:
1) The completed Admission Petition (once per year)
2) The Consent for Treatment of Minors Health form (once only)
3) The California Community College Promise Grant (once per summer)
SECTION 1: CERTIFICATION BY HIGH SCHOOL PRINCIPAL OR AUTHORIZED DESIGNEE:
I certify that the petitioner is prepared to undertake associate degree applicable credit coursework. I recommend that
he/she enroll in the above course/courses, not to exceed 15.0 units for CCAP and 11.5 for Middle College per
term.
Signature of high school principal or authorized designee Date
SECTION 2: CERTIFICATION BY HIGH SCHOOL PARENT AND STUDENT:
Parent AND student must sign the petition.
I certify that I have read the conditions of enrollment and that I will adhere to all college policies and
procedures:
Signature of student Date
SPECIAL NOTE: It is expected that all CCAP/Middle College students enrolling in Columbia College courses have
the maturity to function effectively on a college campus. No special arrangements for additional supervision of
underage students are available. College courses are designed for adult students. In a very small number of
disciplines, course content may be unusually frank in order to deal with scholarly discussion of behavioral, artistic,
human, or other issues. Unlike public schools, colleges do not contact parents in advance to inform them of these
matters. Parents are hereby notified that it is their responsibility to ensure that their child is able to handle the
college environment, as well as the content of the course in which he/she enrolls. Although CCAP/Middle College
students may be minors, they are entitled to all of the privacy rights of a college student. Therefore, any
information regarding attendance, grades, behavior, etc., cannot be shared with the parent or legal
guardian. Student account information including attendance and grades can be accessed through
connectColumbia.
Signature of parent/legal guardian Date
Additionally, I understand that my son/daughter has been assigned a Columbia College e-mail account.
Office Use Only:
PERC Health BOGW
click to sign
signature
click to edit
![]()
click to sign
signature
click to edit
![]()
click to sign
signature
click to edit
![]()
