Fillable Form 9: RIO HONDO COLLEGE Admission and Records (Rio Hondo College)

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Form 9: RIO HONDO COLLEGE Admission and Records (Rio Hondo College)

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Form: 9-12 Petition 101909 Page 1 of 2
Rev. 3-18-21 TC
RIO HONDO COLLEGE
Admission and Records Office
3600 Workman Mill Road, Whittier, CA 90601-1699
Tel: (562) 908-3415 FAX: (562) 692-8318
9
th
-12
th
Grade Petition For
Concurrent/Dual Enrollment
Please read the following information carefully and complete on the reverse side the 9
th
-12
th
Grade Petition For Concurrent/Dual Enrollment.
Rio Hondo College is a two-year community college. We have an open agreement with local
high school districts to enroll high school students in college classes.
The Community College educational environment is geared toward adult students. This is true
in both lecture/discussion classes as well as skills/performance classes. Lecture/discussion
courses are not always appropriate for younger students due to the nature of topics discussed
and the language that may be used.
POLICY
Concurrent/Dual Enrollment students are permitted to enroll in a maximum of eleven (11) non-
remedial units
each term. Authorized personnel from the student’s high school must determine if a student is prepared and will
benefit from taking college level courses. All Concurrent/Dual Enrollment forms must be signed by the student,
student’s parent/guardian, and the authorized personnel from the high school.
Our goal is to serve high school students by offering:
• Classes that are not currently offered in their school system
• Classes that are advanced beyond the level of courses at the high school level
• Classes that will help the student complete graduation from the high school
ENROLLMENT REQUIREMENTS
In order for high school age students to enroll in a college course(s), the following is required:
• Student must complete and sign the petition on the reverse side
• This petition must contain the parent’s AND
Principal or designee’s signature indicating approval for
enrolling in classes at the college
• Home School students must provide verification of satisfactory completion of courses instructed at the
home school and obtain authorization from the District/High School from which they have been released
• All students must complete the appropriate Rio Hondo College application, and submit this form.
• All pre-requisites must be met and cleared prior to registration
• You must still register for class(es) that have been approved for official enrollment. (Submission of this
petition does NOT constitute official enrollment of classes.)
For information about the above or about enrollment/residency issues, pleas
e contact the Admissions and
Records Office at (562) 463-7639. Please email completed forms to Dualenrollment@riohondo.edu for
processing.
Form: 9-12 Petition 101909 Page 2 of 2
Rev. 04/29/20 TC
[ ]F
[ ]S
PETITION FOR CONCURRENT/DUAL ENROLLMENT
9
th
-12
th
GRADE STUDENTS TO RIO HONDO COLLEGE
TO BE COMPLETED BY STUDENT– Please Print
Student’s
Date of
Name: Birth:
RHC Student
ID Number:
Last First M.I.
Name of School Current Student
Currently Attending: _ Grade Level:_ Phone #:
Student Email Address ______________________________
Semester and Year that you wish to attend Rio Hondo College:
Fall 20_ Spring 20 Summer 20
HIGH SCHOOL PRINCIPAL or DESIGNEE
ENROLLMENT INFORMATION and CERTIFICATION OF ELIGIBILITY
COURSES FOR WHICH STUDENT WISHES TO ENROLL: (maximum 11 non-remedial units)
COURSE TITLE
COURSE TITLE
UNITS
As Principal or designee*: Pursuant to Education Code 48800.5 and 76001, I have reviewed the academic record of
the above named student and certify that the student demonstrates adequate preparation in the course(s) listed. I
certify that I am limiting the number of recommendations to no more than five percent (5%) of the total number of
pupils who completed the grade immediately prior to the time of the recommendation for summer session.
I certify that I am aware of the above Ed Code and I also recommend that the above student take no
more than max units.
NOTE: Courses must be identified
PRIOR
to signing.
Signature: Date:
Printed
Name: Title:
Phone Number: _( ) Ext.:
STUDENT AND PARENT SIGNATURES
Student
Signature: __________________________________________________________________ Date: _
Parent
Signature:_ _ _ _ Date: _
You must still register for class(es) that have been approved for official enrollment. Submission of this petition
does NOT constitute official enrollment of classes. Please read the 9-12 Concurrent/Dual Enrollment Policy on
the reverse side. Thank you
FOR OFFICE
USE ONLY
DATE
RECEIVED:
PROCESSED
BY:
* A letter signed by the Principal with a list of approved designees MUST be on file at Rio Hondo College Admissions
Office.
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Form 9: RIO HONDO COLLEGE Admission and Records (Rio Hondo College)

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Completed 9 December 2021

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