Fillable PERMISSION SLIP This permission slip must be completed (Columbus State Community College)

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PERMISSION SLIP This permission slip must be completed (Columbus State Community College)

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September 2021
PERMISSION SLIP
This permission slip must be completed and signed by the student and his or her parent or guardian in order for the student
to enroll in college courses under the College Credit Plus program.
A student eligible to participate in College Credit Plus and admitted to a college or university will enroll in actual college
courses, which may include “mature subject matter” as defined in Ohio Revised Code 3365.035.
PLEASE TYPE OR PRINT:
We _______________________ (Student Name) and ___________________ (Parent/Guardian Name) hereby
understand that by enrolling in College Credit Plus courses:
• Content may include mature subject matter that will not be modified based upon College Credit Plus enrollee
participation regardless of where course instruction occurs; and
• State law requires this signed form be submitted in the student’s application to the college or university following that
college or university’s instructions for submission of application materials.
The signatures below indicate permission is granted to participate in College Credit Plus. It is the parent’s or guardian’s
responsibility to be awar
e of and monitor the student’s enrollment based on information provided by the college.
Student Information – PLEASE TYPE OR PRINT:
Student Name: ________________________________________
Email Address: ________________________________________
Phone Number: ___________________________________________
Name of High School (Students who are homeschooled may write "homeschooled"): ________________________
CougarID number: ____________________________________
Parent Information – PLEASE TYPE OR PRINT:
Parent Name: ________________________________________
Email Address: ________________________________________
Phone Number: ___________________________________________
Student Signature: _______________________________________________ Date: _________________
Parent Signature: _______________________________________________ Date: _______________
Submit this completed form to your assigned CCP advisor or ccpadvising@cscc.edu
PLEASE CONTINUE TO PAGE 2 OF THIS DOCUMENT TO
REVIEW FURTHER CONSIDERATIONS FOR PARTICIPATING
IN THE CCP PROGRAM AT CSCC:
Page 1
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Revised 10/2021
1. Students are enrolling in college level courses. These courses become part of the student’s permanent
academic record, including both the
high school and college transcripts and GPAs. Courses taken for
high school graduation credit may impact a student’s ability to graduate high school.
2. Stude
nts who fail and/or withdraw from course(s) after the 14
th
day of the semester may be billed by
their school district for all tuition and fees associated with those courses. A student may withdraw
from a class prior to the college’s withdrawal date and receive a “W” on the college transcript, which
will not affect the college GPA. Students who wish to drop a college class should consult with their
school counselor and Columbus State Community College academic advisor before doing so.
3. Students may not register for more hours than indicated by the school counselor/principal, in
alignment with State regulations. If a student registers for more hours than allotted, they will be
considered self-pay and will be billed by Columbus State Community College for all tuition and fees
associated with those courses. Unpaid balances may be referred to the Attorney General’s office for
collection.
4. Students who were biologically male at birth and turn 18 after completing an admissions application
are required to provide the Selective Service number within 30 days of their 18th birthday to the
Records and Registration Department. If the student does not submit their assigned Selective Service
number, the
student will be billed a surcharge equivalent to the nonresident tuition rates. This
surcharge will be bille
d until the Selective Service number is provided.
5. Parents should never contact instructors regarding student progress, attendance, assignments, etc. All
communication regarding the student must be handled through the College Credit Plus Office and/or
the school counselor in accordance with the Family Education Rights and Privacy Act (FERPA).
6. Parents are not permitted to attend courses with students unless the parent is registered for the
course as a paying student.
7. If the student is taking course(s) on a CSCC campus or Regional Learning Center, the stude
nt may be in
class with adults who come from a variety of backgrounds, ages, and criminal histories. Students may
be required to interact with classmates on group work/projects inside and outside
the classroom.
8. Course subject matter may include mature themes and materials and will not be modified based upon
College Credit Plus student participation.
9. If the student has a documented disability, it is the
student’s responsibility to request necessary
accommodations through the college’s Office of Disability Services.
10. Completion of this consent form does not guarantee admission to a specific program or course. To add
courses, students must meet course placement and/or prerequisites and submit a registration form.
Please review the items below:
Page 2
Questions or concerns about any of the above information may be
sent to your assigned CCP advisor or ccpadvising@cscc.edu
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PERMISSION SLIP This permission slip must be completed (Columbus State Community College)

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Completed 11 March 2022

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